Individual
DR. ROBERTO ENRIQUE PUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
21300 GERTRUDE AVE STE 3, PORT CHARLOTTE, FL 33952-5002
(941) 883-4820
(941) 883-6086
Mailing address
21300 GERTRUDE AVE STE 3, PORT CHARLOTTE, FL 33952-5002
(941) 883-4820
(941) 883-6086
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2821
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340145600
—
FL
01
—
65669
BCBSFL
FL
01
—
P00318348
RAILROAD
—
Enumeration date
02/26/2007
Last updated
11/10/2019
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