Ivan Puente (NPI# 1003902214, PAC ID# 1759476872) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1003902214 |
| PAC ID by PECOS | 1759476872 |
| Professional Enrollment ID | I20110922000203 |
| Full Name | Ivan Puente |
| Organization Legal Name | BROWARD SURGICAL ASSOCIATES INC |
| Address |
6405 N Federal Hwy Suite 401 Fort Lauderdale FL 33308-1414 |
| Phone Number | 9544910900 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 7416911326 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100039 | BROWARD HEALTH MEDICAL CENTER |
| 100258 | DELRAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6405 N Federal Hwy, Suite 401, Fort Lauderdale, FL 33308-1414 | 9544910900 | BROWARD SURGICAL ASSOCIATES INC |
| Organization Legal Name | BROWARD SURGICAL ASSOCIATES INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pedro J Gonzalez | General Surgery | Broward Surgical Associates Inc | 6405 N Federal Hwy, Suite 401, Fort Lauderdale, FL 33308-1414 |
| Michael W Parra | General Surgery | Broward Surgical Associates Inc | 6405 N Federal Hwy, Suite 401, Fort Lauderdale, FL 33308-1414 |
| Nicholas Tranakas | General Surgery | Broward Surgical Associates Inc | 6405 N Federal Hwy, Suite 401, Fort Lauderdale, FL 33308-1414 |
| Street Address |
6405 N FEDERAL HWY SUITE 401 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip | 33308-1414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Heglar | Family Medicine | Aids Healthcare Foundation | 6405 N Federal Hwy, Suite 205, Fort Lauderdale, FL 33308-1412 |
| Pedro J Gonzalez | General Surgery | Broward Surgical Associates Inc | 6405 N Federal Hwy, Suite 401, Fort Lauderdale, FL 33308-1414 |
| Melissa Raspanti | Physician Assistant | North Broward Hospital District | 6405 N Federal Hwy, Fort Lauderdale, FL 33308-1412 |
| Barbara Marie Farrell | Family Medicine | North Broward Hospital District | 6405 N Federal Hwy, Suite 300, Fort Lauderdale, FL 33308-1414 |
| Mammen P Zachariah | Interventional Cardiology | North Broward Hospital District | 6405 N Federal Hwy, Fort Lauderdale, FL 33308-1412 |
| Daniel N Brown | Physician Assistant | Aids Healthcare Foundation | 6405 N Federal Hwy, Suite 205, Fort Lauderdale, FL 33308-1412 |
| Pascal Gedeon | Physician Assistant | Aids Healthcare Foundation | 6405 N Federal Hwy, Suite 205, Fort Lauderdale, FL 33308-1412 |
| Diana C Hodarnau | Internal Medicine | North Broward Hospital District | 6405 N Federal Hwy, Suite 300, Fort Lauderdale, FL 33308-1414 |
| Lindsay E Drake | Nurse Practitioner | Aids Healthcare Foundation | 6405 N Federal Hwy, Suite 205, Fort Lauderdale, FL 33308-1412 |
| Yeneneh Desta | Internal Medicine | Aids Healthcare Foundation | 6405 N Federal Hwy, Suite 205, Fort Lauderdale, FL 33308-1412 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Elias | Dermatology | Elias Dermatology LLC | 4610 N Federal Hwy, Fort Lauderdale, FL 33308 |
| Edward M Coopersmith | Pulmonary Disease | Lauderdale Critical Care Services LLC | 4725 N Federal Hwy, Holy Cross Hospital, Fort Lauderdale, FL 33308 |
| Adam Lipman | Orthopedic Surgery | Kevin J Kessler Md Pa | 4800 N Federal Hwy, 3rd Floor, Ft Lauderdale, FL 33308 |
| Tatum Erin Nolan | Physician Assistant | Elias Dermatology LLC | 4610 N Federal Hwy, Fort Lauderdale, FL 33308 |
| Robert Thompson | Emergency Medicine | Lauderdale Critical Care Services LLC | 4725 N Federal Hwy, Holy Cross Hospital, Fort Lauderdale, FL 33308 |
| Louis M Lit | Pulmonary Disease | Lauderdale Critical Care Services LLC | 4725 N Federal Hwy, Holy Cross Hospital, Fort Lauderdale, FL 33308 |
| Merrick D Elias | Dermatology | Elias Dermatology LLC | 4610 N Federal Hwy, Fort Lauderdale, FL 33308 |
| Leslie Ettlinger | Physical Therapy | Kevin J Kessler Md Pa | 4800 N Federal Hwy, 3rd Floor, Ft Lauderdale, FL 33308 |
| Stasha Novakovic | Pulmonary Disease | Lauderdale Critical Care Services LLC | 4725 N Federal Hwy, Fort Lauderdale, FL 33308 |
| Newsha Lajevardi | Dermatology | Roger H Stewart Md Pa | 6550 N Federal Hwy, Suite 320, Ft Lauderdale, FL 33308-1400 |
| Find all physicians in zip 33308 | |||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
| Specialty | GENERAL SURGERY |
| City + Specialty | FORT LAUDERDALE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Ivan Puente.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.