DR. MANUEL L. DE LA PUERTA (NPI# 1508851577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508851577 |
| Entity Type | Individual |
| Full Name | DR. MANUEL L. DE LA PUERTA |
| Credential | MD |
| Practice Address |
6420 W Newberry Rd East Wing, Suite 100 Gainesville FL 32605-4308 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Attn: Credential Dept Fort Myers FL 33916-2216 |
| Practice Telephone | 3523323900 |
| Practice Fax Number | 3523325009 |
| Mailing Telephone | 2392748200 |
| Mailing Fax Number | 2392783350 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2016-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME67324 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 261472300 | 05 |
| Street Address |
6420 W NEWBERRY RD EAST WING, SUITE 100 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605-4308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770834517 | Holli Leann Carvajal | Nurse Practitioner | 6420 W Newberry Rd, East Wing, Suite 100, Gainesville, FL 32605-4308 | 2012-09-19 |
| 1841508454 | Lindsay Nicole Heilman | Physician Assistant | 6420 W Newberry Rd, East Wing, Suite 100, Gainesville, FL 32605-4308 | 2010-09-16 |
| 1942528104 | Amy Nelson | Nurse Practitioner | 6420 W Newberry Rd, East Wing, Suite 100, Gainesville, FL 32605-4308 | 2010-05-12 |
| 1578889408 | Sunshine Integrative Health, Inc. | Acupuncturist | 6420 W Newberry Rd, Rm #180, Gainesville, FL 32605-4308 | 2010-04-16 |
| 1205152808 | Physicians for A Community United for Research and Education LLC | Radiology | 6420 W Newberry Rd, Gainesville, FL 32605-4308 | 2010-04-08 |
| 1154646735 | Susan Ellen Thorsen | Nurse Practitioner | 6420 W Newberry Rd, East Wing, Suite 100, Gainesville, FL 32605-4308 | 2010-04-07 |
| 1336374289 | Joseph J Williams | Acupuncturist | 6420 W Newberry Rd, Rm #180, Gainesville, FL 32605-4308 | 2009-05-21 |
| 1346435021 | North Florida Cancer Institute Pa | Specialist | 6420 W Newberry Rd, Gainesville, FL 32605-4308 | 2007-09-06 |
| 1326260837 | Vijay M Patel | Internal Medicine | 6420 W Newberry Rd, East Wing, Suite 100, Gainesville, FL 32605-4308 | 2007-05-03 |
| 1417031238 | Laura C. Dickerson | Internal Medicine | 6420 W Newberry Rd, East Wing, Suite 100, Gainesville, FL 32605-4308 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548375660 | Padma C Nadella | Internal Medicine | 1240 Jesse Jewell Parkway, Suite 600, Gainesville, GA 30501-3862 | 2006-08-20 |
| 1205865557 | David Fredric Pawliger | Internal Medicine | 6501 Nw 16th Pl, Gainesville, FL 32605-4107 | 2006-06-30 |
| 1164474235 | Gainesville Hematology Oncology Associates | Internal Medicine | 1147 Nw 64th Ter, Gainesville, FL 32605-4218 | 2006-05-17 |
| 1013307362 | Maria Joy Flick | Internal Medicine | 13301 Gateway Center Dr, Gainesville, VA 20155-2984 | 2015-01-26 |
| 1710320718 | Samuel Sang Lee | Internal Medicine | 7901 Lake Manassas Dr, Gainesville, VA 20155-3257 | 2013-04-10 |
| 1003043704 | Sarunas Sliesoraitis | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2009-06-19 |
| 1407032097 | Amy Lucas Nance | Internal Medicine | 6420 W Newberry Rd Ste 100, Gainesville, FL 32605-6622 | 2008-01-14 |
| 1104025154 | Christina A Saurel | Internal Medicine | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2007-07-11 |
| 1528276086 | Charles E. Riggs Jr. | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2007-05-18 |
| 1326260837 | Vijay M Patel | Internal Medicine | 6420 W Newberry Rd, East Wing, Suite 100, Gainesville, FL 32605-4308 | 2007-05-03 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
Please comment or provide details below to improve the information on DR. MANUEL L. DE LA PUERTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.