Doctor Name: | RAMIRO ALFONSO PUENTES |
NPI Number: | 1154779916 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 19364 |
Business Practice Address: | 892 Flamango Ct W West Palm Beach, FL - 334064315 |
Business Phone Number: | 5612420559 |
Business Fax Number: | |
Mailing Address: | 892 Flamango Ct W, WEST PALM BEACH |
State: | FL |
Postal Code: | 334064315 |
Phone Number: | 5614205599 |
Fax Number: | |
NPI Enumeration Date: | 06/01/2016 |
NPI Last Update Date: | 06/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 19364 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |