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

Glenn Riego Puertollano, MD

Individual provider Internal Medicine Physician · NPI 1679544381

Glenn Riego Puertollano, MD is an Internal Medicine in Stanton, Kentucky. Qualified in 1998, 28 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
28
Licensed in
KY
In the registry since
2006
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

321C E College Ave Red River Health Care
Stanton, KY 40380
Phone: (606) 663-9797
Fax: (606) 663-9470
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 38924 (KY)

Record details

NPI number1679544381
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 30, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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