MR. JERRY PUENTE GONZALES LTC (RET) RN MS NPI 1023321890

NPI Information

NPI: 1023321890
Provider Name: MR. JERRY PUENTE GONZALES, LTC (RET), RN, MS
Classification: Registered Nurse - 163WA2000X
Entity Type: Individual

Specialization: Administrator

Address:
14747 OAK BRIAR
SAN ANTONIO, TX
ZIP 78232
Phone: (210) 490-3048
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MR. Jerry Puente Gonzales, LTC (RET), RN, MS is an administrator registered nurse in San Antonio, TX. MR. Jerry Puente Gonzales, LTC (RET), RN, MS NPI is 1023321890. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14747 OAK BRIAR
SAN ANTONIO, TX
ZIP 78232-679
Phone: (210) 490-3048

The enumeration date for this NPI number is 7/21/2010 and was last updated on 7/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC1600X	Registered Nurse	Continuing Education/Staff Development	230082	TEXAS	No
2	163WD0400X	Registered Nurse	Diabetes Educator	230082	VIRGINIA	No
3	163WG0000X	Registered Nurse	General Practice	230082	TEXAS	No
4	163WM0705X	Registered Nurse	Medical-Surgical	230082	TEXAS	No
5	163WN1003X	Registered Nurse	Nutrition Support	230082	TEXAS	No
6	163WP2201X	Registered Nurse	Ambulatory Care	230082	TEXAS	No
7	163WA2000X	Registered Nurse	Administrator	230082	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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