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Leisy Fuentes Mederos

NPI 1548037351 · on the registry since 2023

Practice

Address
621 Nw 215th Ave
Pembroke Pines, FL 33029
Phone
(786) 295-9031

Additional practice sites

  • 10300 Sw 72nd St Ste 467, Miami, FL

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida