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NPI Code Detail

MEDICARE: DR. GLAUCO A PUIG MD

MEDICARE: DR. GLAUCO A PUIG MD
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
1208000000XPediatrics PhysicianME91105FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982664330
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GLAUCO A PUIG MD
Provider Business Mailing Address
First Line : 6100 BLUE LAGOON DR STE 365
Second Line :
City : MIAMI
State : FL
Zip : 33126-7010
Country : US
Telephone Number : 786-322-7333
Fax Number :
Provider Business Practice Location Address
First Line : 745 W PALM DR
Second Line :
City : FLORIDA CITY
State : FL
Zip : 33034-3223
Country : US
Telephone Number : 786-279-0764
Fax Number : 305-245-8019
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 01/22/2021

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