Organization Active NPI

Juan a Puerto MD PA

  • Orthopaedic Surgery Physician
  • Miami, FL
National Provider Identifier
1891005286
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME36313 Issued in FL
Legal business name
JUAN A PUERTO MD PA
Practice address
10661 N Kendall Dr
Suite 109
Miami, FL 33176-8709
Phone
(305) 273-9923
Fax
(305) 273-8825
NPI assigned
Oct 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Dr. Juan Antonio Puerto, MD
Title
Owner
Phone
(305) 273-9923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X ME36313 FL Primary

Addresses

Primary practice location

10661 N Kendall Dr
Suite 109
Miami, FL 33176-8709

Mailing address

PO Box 160463
Miami, FL 33116-0463
Phone (305) 273-9923

Other identifiers 1

IdentifierTypeStateIssuer
067457500MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1891005286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160463",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331160463",
            "telephone_number": "305-273-9923",
            "fax_number": "305-273-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10661 N KENDALL DR",
            "address_2": "SUITE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331768709",
            "telephone_number": "305-273-9923",
            "fax_number": "305-273-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN A PUERTO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "PUERTO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-273-9923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME36313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067457500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.