Puerto, Jose Antonio

Puerto, Jose Antonio is an individual health care provider with primary practice located at 18610 Nw 87Th Ave Suite 101 And 201, Hialeah FL 33015-3518. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Puerto, Jose Antonio can be contacted via phone (305) 829-5000.

Contact Information

Primary practice address
18610 Nw 87Th Ave Suite 101 And 201 Hialeah FL 33015-3518
Phone: (305) 829-5000
Fax: (305) 829-5033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9100243 Florida

Profile Details

NPI number 1073546933
LBN Legal business name Puerto, Jose Antonio
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Sep 29th, 2016 - about 10 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 1073546933 NPPES
Florida MEDICAID 292159600

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