Provider Demographics
NPI:1821842295
Name:PUERTO HERNANDEZ, ALBERTO R
Entity Type:Individual
Prefix:
First Name:ALBERTO
Middle Name:R
Last Name:PUERTO HERNANDEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 ALMERIA AVE APT 807
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5808
Mailing Address - Country:US
Mailing Address - Phone:786-380-0508
Mailing Address - Fax:
Practice Address - Street 1:357 ALMERIA AVE APT 807
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5808
Practice Address - Country:US
Practice Address - Phone:786-380-0508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist