Pulmonary Consultants of SW FL PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

PULMONARY CONSULTANTS OF SW FL PA

Practice address

1031 SE 9TH PL
Unit 2
Cape Coral, FL 33990-3003

Phone

(239) 574-2644

Fax

(239) 574-1451

NPI assigned

Aug 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joseph C Daley, MDNPI 1578552907

Title

President

Phone

(239) 574-2644

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph C Daley III, M.D.

  • Pulmonary Disease Physician
  • Cape Coral, FL
  • NPI 1578552907
  Medicare reassignment Authorized official
• Arun K Penukonda, MD, FRCS, PA

  • Surgery Physician
  • Cape Coral, FL
  • NPI 1215018627
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1043228307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 SE 9TH PL",
            "address_2": "UNIT 2",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903003",
            "telephone_number": "239-574-2644",
            "fax_number": "239-574-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 SE 9TH PL",
            "address_2": "UNIT 2",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903003",
            "telephone_number": "239-574-2644",
            "fax_number": "239-574-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY CONSULTANTS OF SW FL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "DALEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-574-2644",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259708000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "45464",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2357954",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER NUMBER",
            "identifier": "H1501",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yudeisy Puig, APRN
• Alejandro Puldon
• Marianela Puldon
• Kamila Pulgar Guerra
• Jennifer De la Caridad Pulgaron
• Patricia Puntumapanitch, RD
• Keren Pupo Losada, RN
• Irais Pupo Pupo, RBT
• Alfred Pupo
• Rey Moises Pupo

• Pulmonary Disease Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.