Lydia Puente PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME80396 Issued in FL

Legal business name

LYDIA PUENTE PA

Practice address

2645 SW 37TH Ave Ste 101
Miami, FL 33133-2744

Phone

(305) 447-2317

Fax

(305) 447-2292

NPI assigned

Feb 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Lydia Puente, MD

Title

President

Phone

(305) 447-2317

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1194115642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 SW 37TH AVE STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332744",
            "telephone_number": "305-447-2317",
            "fax_number": "305-447-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 SW 37TH AVE STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332744",
            "telephone_number": "305-447-2317",
            "fax_number": "305-447-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDIA PUENTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "PUENTE",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-447-2317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME80396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Miami, FL
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• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.