# MR. JOAQUIN A PUENTE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043846785
- **Gender:** Man
- **Credential:** CNIM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246Z00000X | Other Specialist/Technologist | 10070061 | IL | Yes |
| 246Z00000X | Other Specialist/Technologist | 4024 | IL | — |

## Other

- **Enumeration date:** 03/13/2020
- **Last updated:** 03/13/2020