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Individual

MR. MIGUEL A PUENTES JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NEMT TRANSPORTER

Contact information

Practice address
8411 HERON POND DR APT B110, LEHIGH ACRES, FL 33972-8548
(239) 288-9470
Mailing address
8411 HERON POND DR APT B110, LEHIGH ACRES, FL 33972-8548
(239) 288-9470

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
P532-541-79-263-0
FL
347C00000X
Private Vehicle
P532-541-79-263-0
FL

Other

Enumeration date
12/08/2017
Last updated
12/08/2017
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