Individual
DR. JUAN RIGOBERTO PUERTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 N 15TH ST UNIT A, IMMOKALEE, FL 34142-2824
(239) 657-2779
(239) 657-3335
Mailing address
555 N 15TH ST UNIT A, IMMOKALEE, FL 34142-2824
(239) 657-2779
(239) 657-3335
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME42490
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068069900
—
FL
Enumeration date
08/03/2006
Last updated
04/25/2022
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