Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Otoniel David Puerto, MD

Individual provider Anesthesiology Physician · NPI 1568459667

Dr. Otoniel David Puerto, MD is an Anesthesiology in Bangor, Maine. Qualified in 1987, 39 years ago. Practices with Commonwealth Anesthesia, PSC, a 178-clinician group and accepts Medicare assignment. Licensed in Kentucky and Maine.

Years since qualifying
39
Licensed in
KY, ME
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

360 Broadway
Bangor, ME 04401
Phone: (207) 907-1430
Fax: (207) 907-3508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence MD22859 (ME)
Anesthesiology Physician Taxonomy 207L00000X · Licence 34465 (KY)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 34465 (KY)

Record details

NPI number1568459667
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 4, 2005
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Commonwealth Anesthesia, Psc — 178 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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