Individual provider Active NPI

Maria De Los Angeles Puentes

  • Military Health Care Provider
  • Sunny Isles Beach, FL
National Provider Identifier
1487839700
Registry record updated Jan 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Health Care ProviderTaxonomy code 171000000X
License
6931341 96 Issued in FL
Practice address
16919 N Bay Rd Apt 918
Sunny Isles Beach, FL 33160-4220
Phone
(786) 333-7402
Fax
(305) 945-5134
NPI assigned
Jan 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X 6931341 96 FL Primary

Addresses

Primary practice location

16919 N Bay Rd Apt 918
Sunny Isles Beach, FL 33160-4220

Mailing address

16919 N Bay Rd Apt 918
Sunny Isles Beach, FL 33160-4220
Phone (786) 333-7402

Other identifiers 1

IdentifierTypeStateIssuer
6931341 96MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6931341 96FLMDMilitary Health Care Provider

Practice roles

OrganizationSpecialtyStatusNew patients
Aquario Signs Corporation Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1199491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199491200000",
    "number": "1487839700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16919 N BAY RD APT 918",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604220",
            "telephone_number": "786-333-7402",
            "fax_number": "305-945-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16919 N BAY RD APT 918",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604220",
            "telephone_number": "786-333-7402",
            "fax_number": "305-945-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUENTES",
        "first_name": "MARIA",
        "middle_name": "DE LOS ANGELES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-05",
        "last_updated": "2008-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "FL",
            "license": "6931341  96",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6931341 96",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2008; 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.