Individual
DR. IVAN PUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 E COMMERCIAL BLVD STE 102, FORT LAUDERDALE, FL 33308-4202
(954) 491-0900
(954) 491-1306
Mailing address
2006 NE 49TH ST, FORT LAUDERDALE, FL 33308-4524
(954) 210-4120
(954) 958-0221
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME55971
FL
208600000X
Surgery Physician
Primary
ME55971
FL
2086S0127X
Trauma Surgery Physician
ME55971
FL
Other
Enumeration date
10/05/2006
Last updated
09/03/2025
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