Alfonso Puerto in Louisville - Surgery

Alfonso Puerto - NPI 1669415808

Alfonso Puerto is a Surgery in Louisville, Kentucky. Alfonso Puerto practices all healthcare services and medical treatments related to Surgery. The NPI Number for Alfonso Puerto is 1669415808. The last update date is 2011-12-07.

Alfonso Puerto's current location address is Po Box 436809, Louisville, Kentucky. You can contact this provider via phone number 5028991246 and fax number 5028991292. The mailing address for Alfonso Puerto is Po Box 436809, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Alfonso Puerto
Address Po Box 436809, Louisville, Kentucky
Phone Number 5028991246
Fax Number 5028991292
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1669415808
Provider Enumeration Date 2006-06-14
Last Updated Date 2011-12-07

Provider Mailing Address Detail

Address Po Box 436809
City Louisville
State Kentucky (KY)
Post Code 402536809
Phone Number 5028991246
Fax Number 5028991292

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No LL339
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P100031756 KY MEDICARE PAY TO PROVIDER NUMB
12087671 KY RAILROAD MEDICARE
1059063 KY PASSPORT HEALTHPLAN
64993397 KY --
P400031727 KY MEDICARE PERFORMING PROVIDER N

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FAQs about Alfonso Puerto

What is the unique identifier code issued to Alfonso Puerto by the Centers for Medicare & Medicaid Services (CMS)?

The Alfonso Puerto has been assigned the NPI (National Provider Identifier) 1669415808. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Alfonso Puerto's physical address?

The Alfonso Puerto is physically located at Po Box 436809, in the city of Louisville, KY, with the postal code 402536809.

What is Alfonso Puerto's specialized field of practice, and what is the corresponding taxonomy classification code?

The Alfonso Puerto's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.

On what date did the Alfonso Puerto receive the assignment of its 1669415808 from the Centers for Medicare & Medicaid Services?

The Alfonso Puerto was issued its 1669415808 by the Centers for Medicare & Medicaid Services on 2006-06-14.

When was the information pertaining to Alfonso Puerto most recently updated or revised?

The details related to Alfonso Puerto, including its address, specialty, and other relevant information, were last updated or revised on 2011-12-07.

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