Dr Gwen Canarias Fuentes, MD - Pediatrics in Ardmore, OK

Dr Gwen Canarias Fuentes, MD is a Pediatrics physician based in Ardmore, Oklahoma. Dr Gwen Canarias Fuentes is licensed to practice in Oklahoma (license number 13171) and her current practice location is 919 15th Ave Nw, Ardmore, Oklahoma. She can be reached at her office (for appointments etc.) via phone at (580) 223-5693.

NPI number for Dr Gwen Canarias Fuentes is 1013914324 and her current mailing address is 919 15th Ave Nw, Ardmore, Oklahoma. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013914324.

Contact Information

Dr Gwen Canarias Fuentes, MD
919 15th Ave Nw,
Ardmore, OK 73401-1809
(580) 223-5693
(580) 223-8909



Physician's Profile

Full NameDr Gwen Canarias Fuentes
GenderFemale
SpecialityPediatrics
Location919 15th Ave Nw, Ardmore, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013914324
  • Provider Enumeration Date: 06/30/2005
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Dr Gwen Canarias Fuentes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013914324NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 13171 (Oklahoma)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gwen Canarias Fuentes is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Gwen Canarias Fuentes, MD
919 15th Ave Nw,
Ardmore, OK 73401-1809

Ph: (580) 223-5693
Dr Gwen Canarias Fuentes, MD
919 15th Ave Nw,
Ardmore, OK 73401-1809

Ph: (580) 223-5693

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Pediatrics Doctors in Ardmore, OK

Lisa Christine Hoffman, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1020 N Commerce St, Ardmore, OK 73401
Phone: 580-223-5311    Fax: 580-223-2397
Derek Todd Landis, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 921 14th Ave Nw, Ardmore, OK 73401
Phone: 580-223-5311    Fax: 580-223-8227
Miguel Antonio Camacho-garrido, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1104 Walnut Dr, Ardmore, OK 73401
Phone: 580-226-0543    Fax: 580-226-2284

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