Manuel Puente, MD | |
6901 Simmons Loop Fl 4, Riverview, FL 33578-9498 | |
(813) 302-8388 | |
(813) 302-8453 |
Full Name | Manuel Puente |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 6901 Simmons Loop Fl 4, Riverview, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891154860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MS0112615 (Florida) | Primary |
207Q00000X | Family Medicine | MT210110 (Pennsylvania) | Secondary |
Entity Name | St Lukes Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Entity Name | Star Community Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033686159 PECOS PAC ID: 7618215237 Enrollment ID: O20190206002009 |
Mailing Address | Practice Location Address |
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Manuel Puente, MD 2995 Drew St, Clearwater, FL 33759-3012 Ph: (727) 315-7496 | Manuel Puente, MD 6901 Simmons Loop Fl 4, Riverview, FL 33578-9498 Ph: (813) 302-8388 |
Mickel Wray Anglin, M. D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13045 Summerfield Square Dr, Riverview, FL 33578 Phone: 813-672-1385 Fax: 813-672-8904 | |
Dr. Daniel James Jasko, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11966 Boyette Rd, Riverview, FL 33569 Phone: 813-844-8700 Fax: 813-844-2397 | |
Dr. Steven Mark Pouls, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 134703 Boyette Rd, Riverview, FL 33569 Phone: 813-654-1775 Fax: 813-651-9082 | |
Cheryl Lee Sellers, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13403 Boyette Rd, Riverview, FL 33569 Phone: 813-654-1775 Fax: 813-651-9082 | |
Dr. Essa Omran Alsharif, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10647 Big Bend Rd Ste 212, Riverview, FL 33579 Phone: 813-844-4600 Fax: 813-844-1960 | |
Lena Clair Taylor, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 10518 Egret Haven Ln, Riverview, FL 33578 Phone: 850-390-5206 | |
Dr. Samuel C. Martino, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 7229 Us Highway 301 S, Riverview, FL 33578 Phone: 813-677-8418 Fax: 813-355-5906 |