Individual provider Active NPI

John Valentine Puig II, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Laredo, TX
National Provider Identifier
1598847402
Registry record updated Sep 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
L1707 Issued in TX
Practice address
7109 N Bartlett Ave Ste 109
Laredo, TX 78041-6473
Phone
(956) 727-2122
Fax
(956) 727-4445
NPI assigned
Oct 19, 2006
Last updated
Sep 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X L1707 TX Primary

Addresses

Primary practice location

7109 N Bartlett Ave Ste 109
Laredo, TX 78041-6473

Mailing address

7109 N Bartlett Ave Ste 109
Laredo, TX 78041-6473
Phone (956) 727-2122

Other identifiers 3

IdentifierTypeStateIssuer
125161300OtherUS DEPT OF LABOR - ACS
1454407-05MedicaidTX
8K1217OtherTXBCBS INDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20070710000733 TX Practitioner - Family PracticePractitioner - Sports MedicinePractitioner - Physical Medicine and Rehabilitation 8820198591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Physical Medicine and Rehabilitation, Sports Medicine
Education
University of Texas Medical School at San Antonio, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laredo Sports Medicine Clinic PAGroup PAC ID 4183719321, 9 clinicians

Practice addresses (Care Compare)

7109 N Bartlett Ave
Suite 109
Laredo, TX 78041-6473
Phone (956) 727-2122

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Laredo Sports Medicine Clinic, PA Sports Medicine CurrentSince Jul 1, 2003 Accepting new patients

Locations

7109 N Bartlett Ave
Ste 109
Laredo, TX 78041
Phone (956) 727-2122

9652 McPherson Rd
Ste 12
Laredo, TX 78045
Phone (956) 727-2122

Interoperability endpoints

  • Direct secure messaging: john.puig.ii.3@28730.direct.athenahealth.com
  • Direct secure messaging: puig.john.006.0430026@lsmd.meditab.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599436800000",
    "number": "1598847402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 N BARTLETT AVE STE 109",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416473",
            "telephone_number": "956-727-2122",
            "fax_number": "956-727-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 N BARTLETT AVE STE 109",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416473",
            "telephone_number": "956-727-2122",
            "fax_number": "956-727-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUIG",
        "first_name": "JOHN",
        "middle_name": "VALENTINE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "L1707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR - ACS",
            "identifier": "125161300",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454407-05",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "8K1217",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.