Individual
DR. JAVIER PUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5341 W 20TH AVE, HIALEAH, FL 33012-2100
(786) 261-3762
Mailing address
5341 W 20TH AVE, HIALEAH, FL 33012-2100
(786) 261-3762
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
019206
PR
208D00000X
General Practice Physician
Primary
ACN806
FL
Other
Enumeration date
11/09/2015
Last updated
10/08/2019
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