Puente, Jairo

Puente, Jairo is an individual health care provider with primary practice located at 1000 W Moreno St , Pensacola FL 32501-2316. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Puente, Jairo can be contacted via phone (850) 469-7406.

Contact Information

Primary practice address
1000 W Moreno St Pensacola FL 32501-2316
Phone: (850) 469-7406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME108871 Florida

Profile Details

NPI number 1447402441
LBN Legal business name Puente, Jairo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Apr 21st, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447402441 NPPES
Florida Other 14CN8 BCBSFL
Florida MEDICAID 003589100 BCBSFL

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