Provider Demographics
NPI:1811976459
Name:PUENTE, ORLANDO ANTONIO (MD)
Entity type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:ANTONIO
Last Name:PUENTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8955 SW 87TH CT
Mailing Address - Street 2:SUITE 112
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2230
Mailing Address - Country:US
Mailing Address - Phone:305-596-0600
Mailing Address - Fax:305-598-7965
Practice Address - Street 1:8955 SW 87TH CT
Practice Address - Street 2:SUITE 112
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2230
Practice Address - Country:US
Practice Address - Phone:305-596-0600
Practice Address - Fax:305-598-7965
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0040804174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist