Javier Puentes PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN806 Issued in FL

Legal business name

JAVIER PUENTES PA

Practice address

5341 W 20TH Ave
Hialeah, FL 33012-2100

Phone

(786) 541-1882

Fax

(786) 542-1846

NPI assigned

Feb 6, 2018

Organization subpart

No

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

Authorized official

Name

Javier Puentes, MDNPI 1679946982

Title

President

Phone

(786) 542-1882

Specialties & licenses 1

Addresses

Other names 1

• VENAVERTE MEDICAL CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Javier Puentes

  • General Practice Physician
  • Hialeah, FL
  • NPI 1679946982
  Medicare reassignment NPD Authorized official
• Milkys Esther Gonzalez, APRN

  • Family Nurse Practitioner
  • Hialeah, FL
  • NPI 1437615275
  Medicare reassignment

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1437658358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5341 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122100",
            "telephone_number": "786-541-1882",
            "fax_number": "786-542-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122100",
            "telephone_number": "786-541-1882",
            "fax_number": "786-542-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER PUENTES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "PUENTES",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-542-1882",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VENAVERTE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jandro Javech Hernandez
• Sagar Javia, MD
• Javier Errazquin Service Inc
• Javier Garcia, DNP Medical Office, Inc
• Javier Perez MD PA
• Javier Ricardo MD PA
• Jay Diagnostic & Rehab. Center
• Jazmin Retirement Home LLC
• Jbasulto Health Care LLC
• JC & C Alf LLC

• General Practice Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.