Individual
DR. PABLO EMMANUEL PUELLO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 37TH PL STE 104, VERO BEACH, FL 32960-6501
(772) 978-5811
(772) 978-5815
Mailing address
1050 37TH PL STE 104, VERO BEACH, FL 32960-6501
(772) 978-5811
(772) 978-5815
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME143430
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106057600
—
FL
Enumeration date
04/09/2014
Last updated
05/17/2024
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