Jose Luis Puebla-Tarilonte, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

3770 Issued in PR

Practice address

12004 Autumnwood LN
Fort Washington, MD 20744-6064

Phone

(301) 203-1543

NPI assigned

Jun 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467654350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12004 AUTUMNWOOD LN",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207446064",
            "telephone_number": "301-203-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12004 AUTUMNWOOD LN",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207446064",
            "telephone_number": "301-203-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUEBLA-TARILONTE",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "3770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Denise Pressley
• Gregory E Price, PH.D.
• Prince of Peace Assisted Living Facility
• Lisa Proctor, COTA
• Propel Productions Center Inc
• Quality First Healthcare, LLC
• Rachel Coulter, NP PLLC
• Rajinder S. Bhullar DDS,PA (fort washington dental)
• Vishnupriya Ramasamy
• Carole Carter Ranta, LCPC

• Cardiovascular Disease Physician in Fort Washington, MD
• Providers in Fort Washington, MD by specialty
• Cardiovascular Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.