ALEXANDER DE LA RIVA FUENTES
NPI 1104680032
General Practice in Tacoma, WA

Active since February 12, 2024
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-3066 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alexander De La Riva Fuentes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDER DE LA RIVA FUENTES (NPI 1104680032) is an individual general practice provider in Tacoma, Washington, licensed in Virginia (101287220) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1104680032
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameALEXANDER DE LA RIVA FUENTES
Location Address9040 JACKSON AVETacoma, WA 98431-0001
Mailing Address9040 Jackson AveTacoma, WA 98431-0001 · (253) 968-3066
Sole ProprietorNo
Enumeration DateFebruary 12, 2024
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
NPI 1104680032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in VA · 101287220
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

9040 JACKSON AVE, Tacoma, WA 98431

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander Fuentes's NPI number?

The NPI number for Alexander Fuentes is 1104680032. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Where is Alexander Fuentes located?

Alexander Fuentes practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-3066.

What is Alexander Fuentes's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Alexander Fuentes was last updated on September 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.