| NPI | 1194101790 |
|---|---|
| Professional Name | DIEGO PUENTEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 057.000381) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: IL 057.000381) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |