Hernandez Puente, Ivonne
Hernandez Puente, Ivonne is an individual health care provider with primary practice located at 1682 Ne Pine Island Rd , Cape Coral FL 33909-1756. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Hernandez Puente, Ivonne can be contacted via phone (239) 424-1600.Contact Information
Primary practice address
1682 Ne Pine Island Rd
Cape Coral FL 33909-1756
Phone: (239) 424-1600
Fax: (239) 424-1640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP141079 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN11002493 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP141079 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | APRN11002493 | Florida |
Profile Details
| NPI number | 1447710322 |
|---|---|
| LBN Legal business name | Hernandez Puente, Ivonne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2019 |
| Last updated | Jun 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447710322 | NPPES |
| Other | 00 | N/A | |
| MEDICAID | 109643000 | N/A |
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