Puerto Medical Group Psc

LBN: Puerto Medical Group Psc
Puerto Medical Group Psc is an health care organization with primary practice located at 10806 Ward Ave , Louisville KY 40223-2659. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Puerto Medical Group Psc can be contacted via phone (502) 899-1246, or through Puerto, Alfonso via phone (502) 899-1246.

Contact Information

Primary practice address
10806 Ward Ave Louisville KY 40223-2659
Phone: (502) 899-1246
Fax: (234) 567-4229
Website:
Map and Directions
Authorized official contact:
Name: Puerto, Alfonso Doctor of Medicine (MD)
Phone: (502) 899-1246

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X LL339 Kentucky

Profile Details

NPI number 1982906400
LBN Legal business name Puerto Medical Group Psc
DBA Doing business as
Authorized official Puerto, Alfonso Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2010
Last updated Dec 8th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982906400 NPPES
Kentucky Other 1669415808 INDIVIDUAL NPI

Popular Providers