Individual
MARIA DE LOS ANGELES PUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16919 N BAY RD APT 918, SUNNY ISLES BEACH, FL 33160-4220
(786) 333-7402
(305) 945-5134
Mailing address
16919 N BAY RD APT 918, SUNNY ISLES BEACH, FL 33160-4220
(786) 333-7402
(305) 945-5134
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
6931341 96
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6931341 96
—
FL
Enumeration date
01/05/2008
Last updated
01/05/2008
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