Glauco A Puig, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME91105 Issued in FL

Practice address

745 W Palm Dr
Florida City, FL 33034-3223

Phone

(786) 279-0764

Fax

(305) 245-8019

NPI assigned

Mar 27, 2006

Sex

Male

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: glauco.puig@cmg.eclinicaldirectplus.com

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.

• Access Medical Group of Florida City, LLC.

  • Family Medicine Physician
  • Florida City, FL
  • NPI 1205118874
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1982664330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BLUE LAGOON DR STE 365",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331267010",
            "telephone_number": "786-322-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 W PALM DR",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330343223",
            "telephone_number": "786-279-0764",
            "fax_number": "305-245-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUIG",
        "first_name": "GLAUCO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME91105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272318200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "glauco.puig@cmg.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "health information has changed",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "745 W Palm Dr",
            "city": "Florida City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330343223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Magela Prieto Gonzalez
• Prime Excellent Wellness LLC
• Prime Harbour Medical Supply LLC
• Prime Medical Group
• Professional Care Home Health Agency Inc
• Quality Life Mental Health Inc
• Quality Life Mental Health Inc
• Andres Ignacio Ramirez de la Rosa
• Edailyn Ramirez
• Maria Rangel

• Pediatrics Physician in Florida City, FL
• Providers in Florida City, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.