| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | MICHAEL ANDREW FUENTES · Michael A. Fuentes · Michael Fuentes | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | UPIN: B37383 | [sources] | |||
| First name | Michael | [sources] | |||
| ID Number | MD035920E · MD035920E (PA) | [sources] | |||
| Last name | Fuentes | [sources] | |||
| Middle name | A. · ANDREW | [sources] | |||
| NPI | 1972536795 | [sources] | |||
| Sector | MD | [sources] | |||
| Title | MD | [sources] | |||
| Position | INTERNAL MEDICINE (MEDICAL PRACTICE, MD) | [sources] | |||
| Address | (CT), (CT) · 32 LAKE DRIVE, DARIEN, CT 06820 · 32 Lake Drive, Darien CT 06820 · DARIEN, CT 06820, USA · Out of State, Out of State | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
Medical providers deemed ineligible to participate in Maryland's Medicaid program.
United States · MDH
A database of suppliers who have been excluded from participating in US federal procurement.
United States · GSA
People and companies excluded from Federally funded health care programs
United States · OIG
us-medmd-207aaf048ea7295862b93fbe2b77f9785e2318a5 · us-fed-excl-michael-andrew-fuentes-06820-darien · us-medpa-f1f1c1d33ac09cc0b70873ef3787b4355ddca179 · us-fed-excl-michael-fuentes-06820-darienFor experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| Out of State, Out of State | United States | |
| (CT), (CT) | ||
| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |
| United States | Department of Human Services | - | - |
| United States | Maryland Department of Health | - | - |
| United States | HHS | Reciprocal | - |