| Doctor Name: | CARMEN LUZ PUENTE |
| NPI Number: | 1215162946 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | EMT |
| License Number: | B1723907 |
| Business Practice Address: | Bldg 301 Andrews Ave Lyster Army Health Clinic Fort Rucker, AL - 363625333 |
| Business Phone Number: | 3342557314 |
| Business Fax Number: | |
| Mailing Address: | 3370 Ozark Hwy, ENTERPRISE |
| State: | AL |
| Postal Code: | 36330 |
| Phone Number: | 3343471137 |
| Fax Number: | |
| NPI Enumeration Date: | 05/26/2009 |
| NPI Last Update Date: | 05/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146N00000X |
| License Number: | B1723907 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Basic |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |