Individual provider Active NPI

Joseph H. Puente, MD

  • Internal Medicine Physician
  • Metairie, LA
National Provider Identifier
1821186990
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16445 Issued in LA
Practice address
3530 Houma Blvd Ste 300
Metairie, LA 70006-4203
Phone
(504) 264-5142
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16445 LA Primary

Addresses

Primary practice location

3530 Houma Blvd Ste 300
Metairie, LA 70006-4203

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (504) 264-5142

Other practice location 1

3800 Houma Blvd Ste 340
Metairie, LA 70006-4152
Phone (504) 455-6250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20101104001174 LA Practitioner - Internal Medicine 8628262524 Practice locations: Metairie, LA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16445LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PMR la Holding, LLC CurrentSince Sep 29, 2021 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

3530 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 264-5142

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1821186990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "504-264-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 HOUMA BLVD STE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064203",
            "telephone_number": "504-264-5142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Houma Blvd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700064152",
            "country_code": "US",
            "telephone_number": "504-455-6250",
            "fax_number": "504-457-0043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUENTE",
        "first_name": "JOSEPH",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "16445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.