Puentes de Salvd

Primary specialty

Migrant Health Clinic/CenterTaxonomy code 261QM1000X

Legal business name

PUENTES DE SALVD

Practice address

1700 South Street
Philadelphia, PA 19146

Phone

(215) 454-8000

Fax

(215) 893-2251

NPI assigned

Jul 8, 2020

Organization subpart

No

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

Authorized official

Name

Dacey Boinaiv Stratton, CRNP

Title

Medical Director

Phone

(207) 664-8738

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1114545977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SOUTH STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19146",
            "telephone_number": "215-454-8000",
            "fax_number": "215-893-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SOUTH STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19146",
            "telephone_number": "215-454-8000",
            "fax_number": "215-893-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUENTES DE SALVD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "STRATTON",
        "authorized_official_first_name": "DACEY",
        "authorized_official_middle_name": "BOINAIV",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "207-664-8738",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy N Pucci, OTR/L, ATP
• Russell J Puche, LCSW
• Kelly Rose Pucillo, CRNA
• David M Pudles, D.O.
• Abigail Pudpud, D.O.
• Cara J Puff, IBCLC
• Carter Pugh, BA
• Chantel Pugh
• India Zina Pugh
• Kendra A Pugh, LPN

• Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.