Provider Demographics
NPI:1568433308
Name:PUIG, ROBERT A (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:PUIG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7600 SW 87TH AVE
Mailing Address - Street 2:STE 206
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3601
Mailing Address - Country:US
Mailing Address - Phone:305-275-5525
Mailing Address - Fax:305-275-0662
Practice Address - Street 1:7600 SW 87TH AVE
Practice Address - Street 2:STE 206
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3601
Practice Address - Country:US
Practice Address - Phone:305-275-5525
Practice Address - Fax:305-275-0662
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2011-12-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 69739208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7949150OtherAETNA
FL281972OtherAVMED
FL258869200Medicaid
FL037570OtherNHP
FLP00267805OtherRAILROAD MEDICARE
FL58679OtherBLUE CROSS BLUE SHIELD
FL7949150OtherAETNA
FL281972OtherAVMED