DR. JUAN D FUENTES M.D.
NPI 1184664245
Radiology - Neuroradiology in Murray, UT

Q: What is Juan Fuentes's NPI number?

The NPI number for Juan Fuentes is 1184664245. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Juan Fuentes's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Q: When was this NPI record last updated?

The NPPES record for Juan Fuentes was last updated on September 4, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 07, 2006PECOS Enrolled

5444 GREEN ST, MURRAY, UT 84123(801) 262-8120(801) 262-5721 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Juan D Fuentes M.d. NPPES

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

DR. JUAN D FUENTES M.D. (NPI 1184664245) is an individual neuroradiology provider in Murray, Utah, licensed in Utah (170972-1205) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184664245

Entity TypeIndividualMale

Primary Taxonomy2085N0700X

Provider Legal NameDR. JUAN D FUENTESCredential: M.D.

Location Address5444 GREEN STMurray, UT 84123-5632

Mailing Address5444 Green StMurray, UT 84123-5632 · (801) 262-2647 · Fax (801) 262-3897

Phone(801) 262-8120

Fax(801) 262-5721

Sole ProprietorNo

Enumeration DateJune 7, 2006

Last NPPES UpdateSeptember 4, 2012

✔ NPI 1184664245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085N0700X

License✔ Licensed in UT · 170972-1205

Definition

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 170972-1205 (UT), M-10423 (ID)

5444 GREEN ST, Murray, UT 84123

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Other Identifiers 3

Medicaid07685UT

Medicare UPINE31813UT

Medicare PIN005542731UT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Juan D Fuentes M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.