Puente, Roberto Enrique

Puente, Roberto Enrique is an sole proprietor health care provider with primary practice located at 21300 Gertrude Ave Ste 3 , Port Charlotte FL 33952-5002. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Puente, Roberto Enrique can be contacted via phone (941) 883-4820.

Contact Information

Primary practice address
21300 Gertrude Ave Ste 3 Port Charlotte FL 33952-5002
Phone: (941) 883-4820
Fax: (941) 883-6086
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO2821 Florida

Profile Details

NPI number 1710013818
LBN Legal business name Puente, Roberto Enrique
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Nov 10th, 2019 - about 6 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 1710013818 NPPES
Florida Other 65669 BCBSFL
Florida Other P00318348 BCBSFL
Florida MEDICAID 340145600 BCBSFL

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