Diva Isabel Puerta, DDS

Dentist · Jackson Heights, NY

Individual Active NPI

NPI number 1275696502

Practice location

3545 79TH St
Jackson Heights, NY 11372-4818
Phone
(718) 335-1331
Fax
(718) 396-2593

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NPI record

NPI
1275696502
Entity type
Individual (Type 1)
Enumeration date
December 18, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 052894 NY

Mailing address

3555 73rd St Apt 426
Jackson Heights, NY 11372-4142
Phone
(718) 476-9551

About Dr. Puerta

Diva Isabel Puerta, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3545 79TH St, Jackson Heights, NY 11372-4818. The NPI number 1275696502 was assigned on December 18, 2006 and the record was last updated on July 8, 2007.

Dr. Puerta lists a license in the registry: #052894 (NY) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Diva Isabel Puerta, DDS?

The NPI number is 1275696502.

What is the phone number of Dr. Puerta?

The phone number listed for the practice location is (718) 335-1331.

Where is Dr. Puerta located?

3545 79TH St, Jackson Heights, NY 11372-4818.

What is the taxonomy code for Dr. Puerta?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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