Basic Information
Provider Information
NPI: 1962675488
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PUENTE CUELLAR
FirstName: NAPOLEON
MiddleName: ANTONIO
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 21 SPURS LN
Address2: STE 230B
City: SAN ANTONIO
State: TX
PostalCode: 782401671
CountryCode: US
TelephoneNumber: 2106907400
FaxNumber: 2106907405
Practice Location
Address1: 21 SPURS LN
Address2: STE 230B
City: SAN ANTONIO
State: TX
PostalCode: 782401669
CountryCode: US
TelephoneNumber: 2106907400
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/04/2008
LastUpdateDate: 09/09/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001XLP00195RIN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RP1001XP0276TXY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


Home