David R Puentes DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH5380 Issued in FL

Legal business name

DAVID R PUENTES DC

Practice address

795 S Broadway Ave
Bartow, FL 33830-5602

Phone

(863) 533-2766

Fax

(863) 533-0998

NPI assigned

Dec 9, 2015

Organization subpart

No

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

Authorized official

Name

David Rogelio Puentes, D.C.

Title

Chiropractor/Owner

Phone

(863) 533-2766

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Bryce Duncan, DC

  • Chiropractor
  • Bartow, FL
  • NPI 1245041037
  NPD (past)

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1578938080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 S BROADWAY AVE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338305602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 S BROADWAY AVE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338305602",
            "telephone_number": "863-533-2766",
            "fax_number": "863-533-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R PUENTES DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "PUENTES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROGELIO",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "863-533-2766",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001506900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Demelza Cruz
• Joseph Cruz
• Olivia Mary D'Angelo, MD
• Bambi Rae Daignault, MA
• El Fadl Daissaoui, RN
• Oneisha L Davidson
• Brenda S Davis, CASEMANAGER
• Katrina Davis
• Florence E Deaner, RN
• Rosalind M Deangelis-Tyre, LCSW

• Chiropractor in Bartow, FL
• Providers in Bartow, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.