# JUAN A PUERTO MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891005286
- **Authorized official:** DR. JUAN ANTONIO PUERTO MD (OWNER)
- **Authorized official phone:** (305) 273-9923

## Contact information

- **Practice address:** 10661 N KENDALL DR, SUITE 109, MIAMI, FL 33176-8709
- **Practice address phone:** (305) 273-9923
- **Practice address fax:** (305) 273-8825
- **Mailing address:** PO BOX 160463, MIAMI, FL 33116-0463
- **Mailing address phone:** (305) 273-9923
- **Mailing address fax:** (305) 273-8825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME36313 | FL | Yes |

## Other

- **Enumeration date:** 10/19/2010
- **Last updated:** 10/28/2010