Individual provider Active NPI

Enrique Zamora Puig, M.D.

  • Anesthesiology Physician
  • Winter Haven, FL
National Provider Identifier
1639106602
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME82847 Issued in FL
Practice address
567 Avenue K SE
Winter Haven, FL 33880-4215
Phone
(863) 299-1231
Fax
(863) 299-1233
NPI assigned
Jun 27, 2006
Last updated
Mar 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME82847 FL Primary

Addresses

Primary practice location

567 Avenue K SE
Winter Haven, FL 33880-4215

Mailing address

567 Avenue K SE
Winter Haven, FL 33880-4215
Phone (863) 299-1231

Other identifiers 1

IdentifierTypeStateIssuer
262535100MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100210000104 FL Practitioner - Anesthesiology 2264575497 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams National LLCGroup PAC ID 3870813025, 310 clinicians
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Anesthesia Associates MD PAGroup PAC ID 9537190723, 4 clinicians

Practice addresses (Care Compare)

1405 S Orange Ave
Suite 400 Orlando Center for Outpatient Sur
Orlando, FL 32806-2147
Phone (407) 426-8331

200 Ave F NE
Winter Haven, FL 33881-4131

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

567 Ave K SE
Winter Haven, FL 33880-4215
Phone (863) 299-1231

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Apr 1, 2023 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Fleming Island Anesthesia LLC Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Floridian Anesthesia Services LLC Anesthesiology CurrentSince Apr 13, 2022 Accepting new patients
Innovative Medical Staffing Solutions Inc Anesthesiology CurrentSince Jun 7, 2022 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Baycare Medical Group, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

107 Park Place Blvd
Davenport, FL 33837
Phone (863) 419-2812

107 Park Place Blvd
Ste 800
Davenport, FL 33837

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 322-5600

905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

95 Bulldog Blvd
Ste 104
Melbourne, FL 32901
Phone (321) 952-9800

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

130 Tamiami Trl N
Ste 210
Naples, FL 34102
Phone (239) 434-8707

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

1600 SE 17th St
Ocala, FL 34471
Phone (615) 240-3720

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006

5115 US 27 N
Sebring, FL 33870
Phone (863) 381-8157

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: enrique.puig.1@18417.direct.athenahealth.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1639106602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804215",
            "telephone_number": "863-299-1231",
            "fax_number": "863-299-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 AVENUE K SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804215",
            "telephone_number": "863-299-1231",
            "fax_number": "863-299-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUIG",
        "first_name": "ENRIQUE",
        "middle_name": "ZAMORA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME82847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262535100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.