Organization
JUAN A PUERTO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN ANTONIO PUERTO MD (OWNER)
(305) 273-9923
Entity
Organization
Contact information
Practice address
10661 N KENDALL DR, SUITE 109, MIAMI, FL 33176-8709
(305) 273-9923
(305) 273-8825
Mailing address
PO BOX 160463, MIAMI, FL 33116-0463
(305) 273-9923
(305) 273-8825
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME36313
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067457500
—
FL
Enumeration date
10/19/2010
Last updated
10/28/2010
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