Puerto Medical Group PSC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

LL339 Issued in KY

Legal business name

PUERTO MEDICAL GROUP PSC

Practice address

10806 Ward Ave
Louisville, KY 40223-2659

Phone

(502) 899-1246

Fax

(234) 567-4229

NPI assigned

Dec 4, 2010

Organization subpart

No

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

Authorized official

Name

Alfonso Puerto, MD

Title

President

Phone

(502) 899-1246

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1291420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1982906400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436809",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402536809",
            "telephone_number": "502-899-1246",
            "fax_number": "234-567-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10806 WARD AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232659",
            "telephone_number": "502-899-1246",
            "fax_number": "234-567-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO MEDICAL GROUP PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-04",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "PUERTO",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-899-1246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "KY",
            "license": "LL339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1669415808",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Puckett
• Loretta Puckett, LPCC, LCADC, NCC
• Luke Puckett, D.C.
• Mark Alan Puckett
• Naqueesha Puckett
• Alfonso Puerto, MD
• Melissa Sue Puffenbarger, M.D.
• Elise A. Puffer, APRN
• Lisa C Puffer, ARNP
• Lucia Belen Puga Sanchez, MD

• Surgery Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.