Prontomed Clinic, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

E2071 Issued in TX

Legal business name

PRONTOMED CLINIC, PLLC

Practice address

3434 Saratoga Blvd
Ste 103
Corpus Christi, TX 78415-5822

Phone

(361) 852-0852

Fax

(361) 852-2280

NPI assigned

Nov 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jairo Antonio Puentes, MD

Title

Owner

Phone

(361) 852-0852

Specialties & licenses 2

Addresses

Other names 1

• MRI Imaging Center PLLC Former legal business name

Locations

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1104128990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 SARATOGA BLVD",
            "address_2": "STE 103",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784155822",
            "telephone_number": "361-852-0852",
            "fax_number": "361-852-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 SARATOGA BLVD",
            "address_2": "STE 103",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784155822",
            "telephone_number": "361-852-0852",
            "fax_number": "361-852-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRONTOMED CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "PUENTES",
        "authorized_official_first_name": "JAIRO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-852-0852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "E2071",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "MDE2071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MRI Imaging Center PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Physical Medicine & Rehabilitation Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.