Jairo A Puentes, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

E2071 Issued in TX

Practice address

5920 Saratoga Blvd Ste 395
Corpus Christi, TX 78414-4137

Phone

(361) 852-0852

Fax

(361) 852-2280

NPI assigned

Nov 21, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• MRI Imaging Center, PLLC

  • Clinic/Center
  • Corpus Christi, TX
  • NPI 1033444773
  NPD (past) Authorized official

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1508849944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD STE 395",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144137",
            "telephone_number": "361-852-0852",
            "fax_number": "361-852-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD STE 395",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144137",
            "telephone_number": "361-852-0852",
            "fax_number": "361-852-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUENTES",
        "first_name": "JAIRO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "E2071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83670S",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099595302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Psychosocial Rehabilitation Services of South Texas
• PT Home Services of San Antonio, Inc.
• Jeffrey Daniel Ptak, MD
• PTMD LP
• Christina Puente-Garcia, LVN
• Erica Nicole Pugh
• Nicolas Puig
• Miroslav Pulda, PT
• Aida Pulido, APRN FNP-C
• Pulmonary Associates of Corpus Christi PLLC

• Physical Medicine & Rehabilitation Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.