| Doctor Name: | DR. VITTORIO T PUENTE |
| NPI Number: | 1013232081 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 33917 |
| Business Practice Address: | 2529 W Trenton Rd Edinburg, TX - 785395070 |
| Business Phone Number: | 9569943880 |
| Business Fax Number: | 9569943877 |
| Mailing Address: | 2529 W Trenton Rd, EDINBURG |
| State: | TX |
| Postal Code: | 785395070 |
| Phone Number: | 9569943880 |
| Fax Number: | 9569943877 |
| NPI Enumeration Date: | 04/02/2010 |
| NPI Last Update Date: | 10/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 33917 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |