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NPI Code Detail

MEDICARE: ANNA MARIA PUENTE

MEDICARE:   ANNA MARIA PUENTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse230985TX
2163W00000XRegistered Nurse1067785TX

General Provider Information

NPI Number : 1467168351
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA MARIA PUENTE
Provider Business Mailing Address
First Line : 1608 W SPRINGER ST
Second Line :
City : BEEVILLE
State : TX
Zip : 78102-5708
Country : US
Telephone Number : 361-319-0084
Fax Number :
Provider Business Practice Location Address
First Line : 112 N SAINT MARYS ST
Second Line :
City : BEEVILLE
State : TX
Zip : 78102-4605
Country : US
Telephone Number : 246-836-1358
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2023
Last Update Date : 01/25/2023

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Directions to “ ANNA MARIA PUENTE ” Practice Location

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