Most Relevant Information
Provider Data
| NPI Number: | 1003183021 |
| Provider Name: | DENISE C PUERTO |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 306819-1 |
Most Important Dates
| Enumeration Date: | 11/18/2011 |
| Last Updated: | 01/24/2014 |
Provider Practice Location
213 W 140TH ST
5-B
NEW YORK
NY
100301783
Practice Location Phone/Fax
| Phone: | 9175749499 |
| Fax: |
Provider Mailing Location
213 W 140TH ST
5-B
NEW YORK
NY
100301783
Provider Mailing Phone/Fax
| Phone: | 9175749499 |
| Fax: |