| Doctor Name: | MONICA FUENTES |
| NPI Number: | 1265861462 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | IMH 9778 |
| Business Practice Address: | 2780 Sw 37th Ave Suite 206 Coconut Grove, FL - 331332740 |
| Business Phone Number: | 3056460112 |
| Business Fax Number: | |
| Mailing Address: | Po Box 522931, MIAMI |
| State: | FL |
| Postal Code: | 331522931 |
| Phone Number: | 7864190386 |
| Fax Number: | |
| NPI Enumeration Date: | 11/07/2013 |
| NPI Last Update Date: | 11/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | IMH 9778 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |