IndividualActive
Samuel Puentes, RT (ARRT)
NPI 1902608037 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Somerton, AZ
Provider details
- NPI number
- 1902608037
- Entity type
- Individual
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Credential
- RT (ARRT)
- Sex
- Male
- Sole proprietor
- Yes
- License
- CRT-71133 (AZ)
Specialties & taxonomies
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierPrimary335V00000XLicense CRT-71133 (AZ)
Suppliers
Practice location
Po Box 3818
Somerton, AZ 85350-3818
Phone: (928) 285-7857
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3818
Somerton, AZ 85350-3818
Additional practice locations (1)
- 762 E Angelica StPo Box 3818Somerton, AZ 85350Phone: (928) 285-7857
Registry dates
- Enumerated
- 2025-03-27
- Last updated
- 2025-03-29
- Certified
- 2025-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.