Organization Active NPI

Pulido Internal Medicine, LLC

  • Internal Medicine Physician
  • Palatka, FL
National Provider Identifier
1407110042
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PULIDO INTERNAL MEDICINE, LLC
Practice address
700 Zeagler Dr
Suite 1
Palatka, FL 32177-6806
Phone
(386) 329-9036
Fax
(386) 329-3038
NPI assigned
Jun 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Dr. Alex M. Pulido, MD
Title
Owner
Phone
(386) 329-9036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

700 Zeagler Dr
Suite 1
Palatka, FL 32177-6806

Mailing address

700 Zeagler Dr
Suite 1
Palatka, FL 32177-6806
Phone (386) 329-9036

National Provider Directory

National Provider Directory

Locations

700 Zeagler Dr
Ste 1
Palatka, FL 32177
Phone (386) 329-9036

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1407110042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ZEAGLER DR",
            "address_2": "SUITE 1",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776806",
            "telephone_number": "386-329-9036",
            "fax_number": "386-329-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ZEAGLER DR",
            "address_2": "SUITE 1",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776806",
            "telephone_number": "386-329-9036",
            "fax_number": "386-329-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULIDO INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "PULIDO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-329-9036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.