Male or Other

Dr. Rene U. Pulido MD

Family Medicine Physician in Jacksonville, FL(View on Map)

Full Name

Dr. Rene Uriel Pulido MD

NPI Number

1033357553

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/22/2009

Specialties

(Taxonomies)

Code

207Q00000X
261Q00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

ME103456

Contact
Information

Purpose

Mailing
Location

Address

2570 ATLANTIC BLVD
2570 ATLANTIC BLVD

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32207-3604
32207-3604

Country

US
US

Telephone Number

(904) 647-8576
(904) 647-8576

Identifiers

Identifier

004248300
338970
000934500
148KP
6683250001
9818064
004248300

Identifier State

FL
FL
FL
FL
FL
FL
FL

Identifier Issuer

MEDIPASS
AVMED
Unknown
BLUE CROSS BLUE SHIELD
NSC DMEPOS
CIGNA
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/17/2018

Provider Address

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