Edgardo Fortuno III
Internist Hospice and Palliative Medicine
1309 W 17th St Ste 101
Sioux Falls
, South Dakota 57104-8805
Edgardo Fortuno III
Internist Hospice and Palliative Medicine
1309 W 17th St Ste 101
Sioux Falls
, South Dakota 57104-8805
(216) 445-1007
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About
Features
Specialties
- Internist
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Edgardo Fortuno III
- Po Box 5074
- Sioux Falls, SD
- Zip : 57117-5074
- Fax : (216) 445-1007
- Phone :
Second Address
- Edgardo Fortuno III
- 1309 W 17th St Ste 101
- Sioux Falls, SD
- Zip : 57104-8805
- Fax : (605) 328-8001
- Phone : (605) 328-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 58.008242 | OH |
| N | 111NI0900X | Internist | 58.008242 | OH |
| Y | 207RH0002X | Hospice and Palliative Medicine | 12320 | SD |
National Provider Identifier
| NPI | 1053847152 |
|---|---|
| Provider Name | Edgardo Fortuno III |
| First Address | Sioux Falls, SD 57117-5074 |
| Second Address | Sioux Falls, SD 57104-8805 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2017 |
| Last Update Date | 21/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.