Healthcare Provider Details

I. General information

NPI: 1407273477
Provider Name (Legal Business Name): ENRIQUE RAMON PUIG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2014
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3868 SW 137TH AVE
MIAMI FL
33175-6462
US

IV. Provider business mailing address

8900 N KENDALL DR
MIAMI FL
33176-2118
US

V. Phone/Fax

Practice location:
  • Phone: 305-526-4511
  • Fax: 305-526-4554
Mailing address:
  • Phone: 786-594-6944
  • Fax: 786-596-7590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberME136461
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: