Puello Diaz, Pablo Emmanuel

Puello Diaz, Pablo Emmanuel is an individual health care provider with primary practice located at 1050 37Th Pl Ste 104 , Vero Beach FL 32960-6501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Puello Diaz, Pablo Emmanuel can be contacted via phone (772) 978-5811.

Contact Information

Primary practice address
1050 37Th Pl Ste 104 Vero Beach FL 32960-6501
Phone: (772) 978-5811
Fax: (772) 978-5815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME143430 Florida

Profile Details

NPI number 1700205523
LBN Legal business name Puello Diaz, Pablo Emmanuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2014
Last updated May 17th, 2024 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700205523 NPPES
Florida MEDICAID 106057600

Popular Providers