Individual
MR. JERRY PUENTE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LTC (RET), RN, MS
Contact information
Practice address
14747 OAK BRIAR, SAN ANTONIO, TX 78232-4679
(210) 490-3048
Mailing address
14747 OAK BRIAR, SAN ANTONIO, TX 78232-4679
(210) 490-3048
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
230082
TX
163WC1600X
Continuing Education/Staff Development Registered Nurse
230082
TX
163WD0400X
Diabetes Educator Registered Nurse
230082
VA
163WG0000X
General Practice Registered Nurse
230082
TX
163WM0705X
Medical-Surgical Registered Nurse
230082
TX
163WN1003X
Nutrition Support Registered Nurse
230082
TX
163WP2201X
Ambulatory Care Registered Nurse
230082
TX
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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