Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 25585 | KY |
N | 207XS0117X | Orthopaedic Spine Surgeon | 25585 | KY |
NPI | 1043273618 |
---|---|
Provider Name | Rolando M Puno |
First Address | Chicago, IL 60677-6351 |
Second Address | Louisville, KY 40202-3900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 21/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000049346 | ANTHEM (UNIVERSITY ORTHOP (01) | KY |
000000049464 | ANTHEM (SPINE INSTITUTE) (01) | KY |
00533157 | MEDICARE/NLS (01) | |
100373910A | (05) | IN |
1049640 | PASSPORT (UNIVERSITY ORTH (01) | KY |
1054522 | PASSPORT (SPINE INSTITUTE (01) | KY |
163722400 | US DEPT OF LABOR (01) | KY |
200011430 | RAILROAD MEDICARE (SPINE (01) | KY |
200031866 | RAILROAD MEDICARE (UNIVER (01) | KY |
2432616000 | PASSPORT ADVANTAGE (UNIVE (01) | KY |
2433676000 | PASSPORT ADVANTAGE (SPINE (01) | KY |
64255854 | (05) | KY |
D70416 | (02) | KY |
N284257 | HARMONY (01) |