Juan Rigoberto Puerto, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME42490 Issued in FL

Practice address

555 N 15TH St Unit a
Immokalee, FL 34142-2824

Phone

(239) 657-2779

Fax

(239) 657-3335

NPI assigned

Aug 3, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 26, 2026 through May 26, 2028

Specialty

General Practice

Education

Michigan State University College of Human Medicine, 1982

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Immokalee Family Doctor'S Clinic, LLC

  • General Practice Physician
  • Immokalee, FL
  • NPI 1801157839
  NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1689682296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N 15TH ST UNIT A",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422824",
            "telephone_number": "239-657-2779",
            "fax_number": "239-657-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N 15TH ST UNIT A",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341422824",
            "telephone_number": "239-657-2779",
            "fax_number": "239-657-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUERTO",
        "first_name": "JUAN",
        "middle_name": "RIGOBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME42490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068069900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susleidy Perez Puentes
• Mariana Perez, MS
• Orayna Perez
• Marie E Pierrelus, RD, LD
• Psychotherapeutic Services of Florida
• Quality Healthcare Staffing Services, LLC
• Jose Roberto Quero, M.D.
• Aracelis Lopez Quinonez, RD
• Reinier F Ramirez, MD
• Ana G Ramos Peraza

• General Practice Physician in Immokalee, FL
• Providers in Immokalee, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.