Lydia Puente, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME80396 Issued in FL

Practice address

2645 SW 37TH Ave
Suite 101
Miami, FL 33133-2754

Phone

(305) 642-7772

Fax

(305) 447-2292

NPI assigned

Oct 10, 2006

Last updated

Sep 26, 2007By the provider in NPPES

Sex

Female

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Miriam Garcia Portela MD PA

  • General Practice Physician
  • Miami, FL
  • NPI 1568471639
  NPD (past)
• Primecare of Coral Gables,PA

  • Family Medicine Physician
  • Coral Gables, FL
  • NPI 1013004431
  NPD (past)
• Primehealth Physicians LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1871838193

  Family Medicine

  NPD (past)
• Vital Primary Care LLC

  • Clinic/Center
  • Fort Myers, FL
  • NPI 1427882414

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1942398714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 SW 37TH AVE",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332754",
            "telephone_number": "305-642-7772",
            "fax_number": "305-447-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 SW 37TH AVE",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332754",
            "telephone_number": "305-642-7772",
            "fax_number": "305-447-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUENTE",
        "first_name": "LYDIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME80396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2701101",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "283618",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "28087",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "039845",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Puebla
• Andrea Puech
• Angel Puente Petrarca
• Daymi Puente Serrano
• Lianet Puente
• Madelaine Puente
• Marlon Puente, RBT
• Mayelin Puente
• Orlando Antonio Puente, MD
• Yaned Puente, ARNP-FNP

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.