Manuel De la Puerta, MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

ME67324 Issued in FL

Practice address

2767 NW 26TH PL
Gainesville, FL 32605-2842

Phone

(352) 316-4843

NPI assigned

Sep 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Florida Cancer Specialists & Research Institute, LLC

  • Medical Oncology Physician
  • Cape Coral, FL
  • NPI 1760590962

  Hematology

  Medicare reassignment NPD
• Gainesville Hematology Oncology Associates

  • Hematology & Oncology Physician
  • Gainesville, FL
  • NPI 1164474235
  NPD

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1508851577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2767 NW 26TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326052842",
            "telephone_number": "352-264-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2767 NW 26TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326052842",
            "telephone_number": "352-316-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA PUERTA",
        "first_name": "MANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME67324",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME67324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261472300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Janelle De Jong, DNP, APRN, CPNP-BC
• Austin De la Cruz, PHARM.D.
• Diomel De la Cruz, MD
• Fernanda De la Garza
• Nicholas De la Osa, MD
• Alexandra De Leo
• Edward Kenna De Leo, MD
• Rafael De Oliveira Lazarin, DMD, MS, PHD
• Giuliano De Portu, M.D.
• Michael Robert De Riesthal, PH.D

• Medical Oncology Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Medical Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.