Jose David Puell, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME111013 Issued in FL

Practice address

6350 Davis Blvd # 1001
Naples, FL 34104-5323

Phone

(239) 658-3000

NPI assigned

Feb 27, 2006

Last updated

Apr 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jose.puell.1@10865.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Collier Health Services Inc

  dba Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1609827211
  Medicare reassignment NPD
• Southwest Florida Emergency Management LLC

  • Emergency Medicine Physician
  • Naples, FL
  • NPI 1780911206

  Family Medicine

  Medicare reassignment NPD
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Naples, FL
  • NPI 1134334048

  Pediatrics

  NPD
• Collier Health Services, Inc

  dba Healthcare Network FHC Pharmacy

  • Community/Retail Pharmacy
  • Naples, FL
  • NPI 1609759091
  NPD
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Immokalee, FL
  • NPI 1053526962
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Immokalee, FL
  • NPI 1083421556
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1134331416
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1194919993
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1235946716
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Immokalee, FL
  • NPI 1376738690
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Naples, FL
  • NPI 1417774332
  NPD (past)
• Collier Health Services Inc

  dba Healthcare Network

  • General Practice Physician
  • Naples, FL
  • NPI 1477229755
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1376519553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 MADISON AVE W",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422200",
            "telephone_number": "239-658-3064",
            "fax_number": "239-658-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 DAVIS BLVD # 1001",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341045323",
            "telephone_number": "239-658-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUELL",
        "first_name": "JOSE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME111013",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME111013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2-1547",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAID",
            "identifier": "004105900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Publix Super Markets, Inc (Publix Pharmacy 1730)
• Publix Super Markets, Inc (Publix Pharmacy #1752)
• Publix Super Markets, Inc. (Publix Pharmacy #2018)
• Publix Super Markets, Inc. (Publix Pharmacy #1782)
• Frank M Puc, PT, MSPT, CEAS
• Natalie Ethlin Puente
• Ricardo Puertas Cruz
• Puffin Emergency Physicians LLC
• Brian Robert Pulford, M.D.
• Jacob Pulliam

• Pediatrics Physician in Naples, FL
• Providers in Naples, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.