Individual
JUAN A PUERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PA
Contact information
Practice address
10661 N KENDALL DR, SUITE 109, MIAMI, FL 33176
(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
ME0036313
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067457500
—
FL
Enumeration date
08/17/2006
Last updated
07/26/2010
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