Individual
DR. JAIRO A PUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5920 SARATOGA BLVD STE 395, CORPUS CHRISTI, TX 78414-4137
(361) 852-0852
(361) 852-2280
Mailing address
5920 SARATOGA BLVD STE 395, CORPUS CHRISTI, TX 78414-4137
(361) 852-0852
(361) 852-2280
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
E2071
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099595302
—
TX
01
—
83670S
BCBS
TX
Enumeration date
11/21/2005
Last updated
05/28/2014
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