Active NPI
Jose Antonio Puentes Jr., MD, PHARM D.
- Anesthesiology Physician
- Chapel Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME162717
- Practice address
- N2198, Cb7010, Unc Hospitals
Chapel Hill, NC 27599-7010 - Phone
- (305) 773-9871
- NPI assigned
- Oct 18, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS46385 | FL | |
| Anesthesiology Physician | 207L00000X | 2021-01085 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 251613 | NC | |
| Anesthesiology Physician | 207L00000X | ME162717 | FL | Primary |
Addresses
Primary practice location
N2198, Cb7010, Unc Hospitals
Chapel Hill, NC 27599-7010
Mailing address
N2198, Cb7010, Unc Hospitals
Chapel Hill, NC 27599-7010
Phone (305) 773-9871
Other practice location 1
1456 NW 17ave
Miami, FL 33125
Phone (305) 549-6677
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5527
Phone (954) 458-1689
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS46385 | FL | MD | Pharmacist |
| 2021-01085 | NC | MD | Anesthesiology Physician |
| 251613 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Anesthesiology | Current | Accepting new patients |
| Miami Anesthesia Services LLC | Anesthesiology | Current | Accepting new patients |
Locations
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 458-1689
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855
5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600
2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Aventura, FL
- NPI 1821475179
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miami Beach, FL
- NPI 1912964768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1760792303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N2198, CB7010, UNC HOSPITALS",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275997010",
"telephone_number": "305-773-9871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N2198, CB7010, UNC HOSPITALS",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275997010",
"telephone_number": "305-773-9871"
}
],
"practiceLocations": [
{
"address_1": "1456 NW 17ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "33125",
"country_code": "US",
"telephone_number": "305-549-6677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUENTES",
"first_name": "JOSE",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD, PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-18",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS46385",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "2021-01085",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "251613",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME162717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.
- 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.