Pablo Odeley Puente Fumero, MD

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3184 Issued in PR

Practice address

Union Norte
San Juan, PR 00907-3455

Phone

(305) 333-4777

NPI assigned

May 29, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780099200000",
    "number": "1962814558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 SW 97TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655115",
            "telephone_number": "305-333-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNION NORTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073455",
            "telephone_number": "305-333-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUENTE FUMERO",
        "first_name": "PABLO",
        "middle_name": "ODELEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-29",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH14595",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "3184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Pubillones, MD
• Guillermo Antonio Puebla Robles, MD
• Pueblo Inc
• Pueblo Inc
• Nicole J Puente Carrasco
• Juan Carlos Puentes, MD
• Puerto Rico Advance Medical Devices Corp
• Puerto Rico Assitive Technology Program
• Puerto Rico Case Manegement Corp
• Puerto Rico Community for Clinical Services, Research and Health

• Physician Assistant in San Juan, PR
• Providers in San Juan, PR by specialty
• Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; 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.