Roberto E Puente DPM PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO 2821 Issued in FL

Legal business name

ROBERTO E PUENTE DPM PLLC

Practice address

21300 Gertrude Ave Ste 3
Port Charlotte, FL 33952-5002

Phone

(941) 883-4820

Fax

(941) 883-6086

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Roberto E Puente, DPMNPI 1710013818

Title

Owner

Phone

(941) 883-4820

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Harbor Foot & Leg Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Roberto Enrique Puente, DPM

  • Podiatrist
  • Port Charlotte, FL
  • NPI 1710013818

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1396871307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21300 GERTRUDE AVE STE 3",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525002",
            "telephone_number": "941-883-4820",
            "fax_number": "941-883-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 GERTRUDE AVE STE 3",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525002",
            "telephone_number": "941-883-4820",
            "fax_number": "941-883-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO E PUENTE DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "PUENTE",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-883-4820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 2821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "65669",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DE8265",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340145600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Foot & Leg Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eugene Lucas Rizzo Jr., MD
• Harold Thomas Robbins II, D. C.
• Rosalie Rebecca Robbins, D.D.S.
• Robert M Case, DPM
• Robert Watine MD LLC
• Rosalyn Roberts Gauthier
• Edward Roberts
• Glodene Simone Roberts, ARNP
• Rick Thomas Roberts, PHARMD
• Tyler Roberts, O.D.

• Podiatrist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.