MEDICARE: MISS SILMARIE PUENTES

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
1	235Z00000X	Speech-Language Pathologist	4980-2	PR

General Provider Information

NPI Number	:	1851277362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SILMARIE PUENTES

Provider Business Mailing Address
First Line	:	COND CAMINO DE LA REINA
Second Line	:	624 CARR 8860 APT 2303
City	:	TRUJILLO ALTO
State	:	PR
Zip	:	00976
Country	:	US
Telephone Number	:	787-225-1135
Fax Number	:

Provider Business Practice Location Address
First Line	:	2U5 AVE LAUREL
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00956-3374
Country	:	US
Telephone Number	:	787-233-2747
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2025
Last Update Date	:	08/18/2025

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Directions to “ MISS SILMARIE PUENTES ” Practice Location

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