Healthcare Provider Details

I. General information

NPI: 1861345944
Provider Name (Legal Business Name): IHPUENTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1443 DEL PRADO BLVD S STE A
CAPE CORAL FL
33990-3750
US

IV. Provider business mailing address

1443 DEL PRADO BLVD S STE A
CAPE CORAL FL
33990-3750
US

V. Phone/Fax

Practice location:
  • Phone: 786-499-5815
  • Fax:
Mailing address:
  • Phone: 786-499-5815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MISS IVONNE HERNANDEZ PUENTE
Title or Position: FAMILY NURSE PRACTITIONER
Credential: APRN
Phone: 786-499-5815