Provider Demographics
NPI:1912628785
Name:PUENTES, KARLA MARINA (FNP)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:MARINA
Last Name:PUENTES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7027 FM 78 APT 8201
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78244-1471
Mailing Address - Country:US
Mailing Address - Phone:915-487-7036
Mailing Address - Fax:
Practice Address - Street 1:4910 GOLDEN QUAIL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1768
Practice Address - Country:US
Practice Address - Phone:210-615-8495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1093473207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine