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Dr. Napoleon Antonio Puente-Cuellar, MD

(Dr. Napoleon Antonio Puente Cuellar, M.D.)

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Specializes in: Adult Pulmonology

Professional interests include: stent placement (stenting), lung issues, asthma, and more.

4458 Medical Drive Suite 505
San Antonio, TX 78229

(210) 690-7400

Dr. Napoleon Antonio Puente-Cuellar, MD is a pulmonologist in San Antonio, TX specializing in adult pulmonology. Dr. Napoleon Antonio Puente-Cuellar, MD is affiliated with Methodist Health System, Methodist Physicians, CHRISTUS Health, Baptist Health System, Baptist Hospital, Methodist Hospital Methodist Hospital Specialty and Transplant Methodist Hospital Stone Oak Methodist Hospital Texsan and TEXAS IPS LLC.

Office Locations

Address:

21 Spurs Lane Suite 230-b
San Antonio, TX 78240

Address:

4458 Medical Drive Suite 505
San Antonio, TX 78229

Some issues Dr. Napoleon Antonio Puente-Cuellar, MD can help you with:

Asthma

Asthma is a chronic lung disease where the tissue and airways of the lungs become extremely sensitive to certain substances. When these substances are breathed in, the lungs become inflamed. The muscles around the airways tighten and squeeze the lungs, and passages within the lungs swell and tighten. The airways themselves produce mucus, which further clogs the tightened, swollen airways. A person having an asthma attack finds it very difficult to breathe, and a severe attack can even be fatal.

Asthma affects people of all ages, but people with asthma are most often diagnosed as children. Symptoms can include wheezing, a tight feeling in the chest, shortness of breath, and coughing. Some people have mild symptoms all the time, and some people have no symptoms at all, but everyone with asthma is susceptible to occasional severe attacks or flare-ups of symptoms when they are exposed to triggers. Triggers vary widely but can include:

Allergens (dust mites, pet fur, mold, pollen, grass)
Irritants (smoke, pollution, dust, chemicals)
Viral infections
Physical activity, especially outdoors
Certain medications or chemicals in foods (aspirin, sulfites)

Treatment for most asthma patients involves three steps. Patients learn what their asthma triggers are and avoid them. They take a daily control medication, usually an inhaled corticosteroid, to reduce inflammation in the lungs. Also, they have rescue medication with them at all times to take in case of a severe attack. These quick-acting inhaled medications relax the muscles around the airways and allow the lungs to open up for air.

There is no cure for asthma, but with treatment it should not interfere with daily life and activities.

Bronchoscopy

Bronchoscopy is a procedure in which a thin tube with a camera, called a bronchoscope, is inserted in the mouth or nose and slowly advanced to the lungs. This allows doctors to see the respiratory tract, which includes the throat, larynx (voice box), trachea (windpipe), bronchi (airways), and lungs. Doctors may recommend those who have or show signs of lung problems - for example, lung cancer or difficulty breathing - to undergo a bronchoscopy.

In performing a diagnostic bronchoscopy, doctors may only wish to visualize the respiratory tract, or doctors may also collect samples of tissue or fluid. The samples can help diagnose patients' conditions or, if patients have cancer, they can be used for staging purposes. One method for sample collection is bronchoalveolar lavage. In a bronchoalveolar lavage, doctors inject saline (salt water) through the bronchoscope and then suction it out of the airways. The washout collected is tested for lung disorders. Doctors can also insert a biopsy tool to collect tissue or mucus samples. The following are biopsies that can be performed by bronchoscopy:

Brush biopsy, which uses a brush to collect samples.
Endobronchial biopsy, which uses the bronchoscope to guide forceps to sample lung tissue.
Transbronchial biopsy, which uses forceps and image guidance - such as X-rays, CT scans, or fluoroscopy - to sample lung tissue.
Transbronchial fine needle aspiration (TBNA), which uses a small needle to take samples of the lymph nodes or lungs.

For visualization, bronchoscopy can be done alone, or it can be combined with ultrasound. Endobronchial ultrasound (EBUS) allows real-time imaging of the airway and is used for diagnosing and staging lung cancer, as well as for determining where the cancer has spread. EBUS can be performed with TBNA, a procedure known as endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA).

Doctors can also use bronchoscopy as a treatment for lung problems. For example, if a foreign body is trapped in the airway, doctors can insert forceps through the bronchoscope to remove it. If the airway has become narrowed - which may occur if patients have an infection, cancer, or some other inflammatory issue - bronchoscopy can be used to place a device called a stent in the area of constriction. The stent will keep the airway open, allowing the patient to breathe properly.

During a bronchoscopy, patients will be given medication (sedative) to help them relax. If it is only a diagnostic bronchoscopy, patients will be kept awake, but if the bronchoscopy is for therapeutic purposes, patients will be put to sleep by general anesthesia. After the procedure, patients will need to stay in the hospital for a few hours. They will not be able to eat or drink for about 2 hours. Some patients may experience discomfort, such as a sore throat or pain while swallowing. Throat lozenges and gargling may help alleviate these symptoms, which should go away after a few days. Patients will need to have someone drive them home once their doctor determines that they are ready.

Lung Issues

Every cell in the body requires oxygen to function and produces carbon dioxide as a waste product. In order to keep the body's tissues constantly supplied with fresh oxygen and to keep waste from building up, the lungs pump air in and out, even while sleeping or unaware. Unfortunately, diseases and disorders affecting the lungs are some of the most common medical problems afflicting people around the world. Some of the most common lung problems include asthma, COPD, pneumonia, and lung cancer.

Asthma is a chronic disease where swollen, inflamed airways make it hard to breathe. It is often brought on by specific triggers. While asthma is a common condition, affecting millions of people, it can also be serious and even fatal in severe cases. Treatment involves avoiding triggers and using inhaled corticosteroid medications.

COPD, or Chronic Obstructive Pulmonary Disease, is the name given to two illnesses that both cause difficulty breathing: emphysema and chronic bronchitis. In emphysema, the air sacs of the lungs become damaged, while with bronchitis they become clogged with mucus. COPD is the fourth leading cause of death in the United States. It is almost always caused by breathing irritants into the lungs, such as smoking or heavy pollution.

Pneumonia is a lung infection that can be caused by bacteria, a virus, or fungi. Most healthy people recover from pneumonia in a week or two, but for some people pneumonia can be fatal. There are treatments available for pneumonia, but the best treatment is to prevent getting sick in the first place. People who are at risk should make sure they get a flu shot every year. There is also a vaccine available for the type of bacteria that causes pneumonia.

Lung cancer occurs when abnormal cells inside the lung grow into a tumor, destroying healthy tissue. Because it is so difficult to detect lung cancer in early stages when it has few symptoms, it is the deadliest form of cancer, responsible for the most cancer deaths both in the U.S. and worldwide. Most lung cancer is caused by exposure to tobacco smoke, but between 10-15% of cases are not linked to smoking.

Some problems with the lungs are minor and are not cause for concern. However if symptoms have lasted for a month or more, even if they are minor, it is worth checking with a healthcare professional. A cough, shortness of breath, or excess mucus production that lingers for weeks are all worth getting looked at.

bronchoscopy	10
catheterization	43
doctor visit	49
hospital care	1566
inpatient care	1566
pulmonary testing	22
tracheal (windpipe) procedures	36

**Gender**
Male	372
Female	391

**Ethnicity**
Non-Hispanic White	419
Black	30
Hispanic	300
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	266
From 75 to 84	207
85 and over	129
Less than 65	161

Hypertension	75
High Cholesterol	72
Stroke	14
Ischemic Heart Disease	72
Depression	36
Chronic Kidney Disease	63
Asthma	20
Osteoperosis	13
Atrial Fibrilation	25
Heart Failure	62
Chronic Obstructive Pulmonary Disease	52
Diabetes	59
Dementia	25
Cancer	15

bronchoscopy	32
catheterization	53
doctor visit	65
hospital care	1892
inpatient care	1892
minimally invasive procedures	22
pleural drainage	11
pulmonary testing	12
thoracostomy	11
tracheal (windpipe) procedures	58

**Gender**
Male	483
Female	484

**Ethnicity**
Non-Hispanic White	608
Black	27
Hispanic	318
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	319
From 75 to 84	302
85 and over	169
Less than 65	177

Hypertension	75
High Cholesterol	74
Stroke	15
Ischemic Heart Disease	73
Depression	39
Chronic Kidney Disease	66
Asthma	19
Osteoperosis	15
Atrial Fibrilation	27
Heart Failure	64
Chronic Obstructive Pulmonary Disease	51
Diabetes	58
Dementia	25
Cancer	17

bronchoscopy	37
catheterization	30
diagnostic procedures	10
doctor visit	98
hospital care	2336
inpatient care	2336
minimally invasive procedures	19
pulmonary testing	42
tracheal (windpipe) procedures	54

**Gender**
Male	1098
Female	1060

**Ethnicity**
Non-Hispanic White	1358
Black	64
Hispanic	696
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	734
From 75 to 84	676
85 and over	374
Less than 65	374

Hypertension	75
High Cholesterol	74
Stroke	16
Ischemic Heart Disease	72
Depression	42
Chronic Kidney Disease	72
Asthma	31
Osteoperosis	14
Atrial Fibrilation	29
Heart Failure	66
Chronic Obstructive Pulmonary Disease	50
Diabetes	60
Dementia	30
Cancer	17

bronchoscopy	32
catheterization	29
diagnostic procedures	12
doctor visit	144
hospital care	2168
inpatient care	2168
minimally invasive procedures	10
pulmonary testing	73
tracheal (windpipe) procedures	27

**Gender**
Male	527
Female	528

**Ethnicity**
Non-Hispanic White	645
Black	42
Hispanic	349
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	382
From 75 to 84	317
85 and over	173
Less than 65	183

Hypertension	75
High Cholesterol	75
Stroke	17
Ischemic Heart Disease	70
Depression	36
Chronic Kidney Disease	73
Asthma	45
Osteoperosis	11
Atrial Fibrilation	32
Heart Failure	58
Chronic Obstructive Pulmonary Disease	43
Diabetes	58
Dementia	32
Cancer	20

bronchoscopy	46
catheterization	45
doctor visit	264
hospital care	2252
inpatient care	2252
minimally invasive procedures	15
pulmonary testing	123
resuscitation	12
tracheal (windpipe) procedures	70

**Gender**
Male	681
Female	591

**Ethnicity**
Non-Hispanic White	786
Black	49
Hispanic	415
Asian	11
Other	0
Native American	0

**Age**
From 65 to 74	494
From 75 to 84	374
85 and over	196
Less than 65	208

Hypertension	75
High Cholesterol	75
Stroke	18
Ischemic Heart Disease	71
Depression	39
Chronic Kidney Disease	71
Asthma	17
Osteoperosis	11
Atrial Fibrilation	31
Heart Failure	60
Chronic Obstructive Pulmonary Disease	43
Diabetes	58
Dementia	32
Cancer	16

bronchoscopy	48
catheterization	18
diagnostic procedures	9
doctor visit	425
hospital care	1625
inpatient care	1625
minimally invasive procedures	29
pulmonary testing	161
tracheal (windpipe) procedures	24

**Gender**
Male	547
Female	527

**Ethnicity**
Non-Hispanic White	657
Black	39
Hispanic	349
Asian	15
Other	0
Native American	0

**Age**
From 65 to 74	381
From 75 to 84	350
85 and over	174
Less than 65	169

Hypertension	75
High Cholesterol	75
Stroke	17
Ischemic Heart Disease	68
Depression	37
Chronic Kidney Disease	70
Asthma	16
Osteoperosis	10
Atrial Fibrilation	31
Heart Failure	56
Chronic Obstructive Pulmonary Disease	43
Diabetes	54
Dementia	34
Cancer	18

bronchoscopy	48
catheterization	11
diagnostic procedures	12
doctor visit	511
hospital care	1057
inpatient care	1057
minimally invasive procedures	26
pulmonary testing	262
tracheal (windpipe) procedures	29

**Gender**
Male	441
Female	478

**Ethnicity**
Non-Hispanic White	571
Black	38
Hispanic	287
Asian	0
Other	11
Native American	0

**Age**
From 65 to 74	346
From 75 to 84	322
85 and over	137
Less than 65	114

Hypertension	75
High Cholesterol	75
Stroke	15
Ischemic Heart Disease	67
Depression	36
Chronic Kidney Disease	68
Asthma	18
Osteoperosis	11
Atrial Fibrilation	30
Heart Failure	54
Chronic Obstructive Pulmonary Disease	44
Diabetes	55
Dementia	29
Cancer	21

aspiration	12
bronchoscopy	66
diagnostic procedures	32
doctor visit	467
hospital care	897
inpatient care	897
minimally invasive procedures	43
minor procedures	12
pulmonary testing	149
tracheal (windpipe) procedures	27

**Gender**
Male	392
Female	442

**Ethnicity**
Non-Hispanic White	493
Black	34
Hispanic	284
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	337
From 75 to 84	259
85 and over	120
Less than 65	118

Hypertension	75
High Cholesterol	75
Stroke	16
Ischemic Heart Disease	61
Depression	34
Chronic Kidney Disease	68
Asthma	15
Osteoperosis	13
Atrial Fibrilation	27
Heart Failure	49
Chronic Obstructive Pulmonary Disease	39
Diabetes	56
Dementia	29
Cancer	22

aspiration	52
bronchoscopy	209
catheterization	22
diagnostic procedures	117
doctor visit	844
hospital care	1717
inpatient care	1717
minimally invasive procedures	155
minor procedures	52
pulmonary testing	289
tracheal (windpipe) procedures	25

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Napoleon Antonio Puente-Cuellar, MD for Medicare patients.

The highest averages for the top procedures that Dr. Napoleon Antonio Puente-Cuellar, MD treated as a pulmonologist in San Antonio, TX were inpatient care, hospital care, pulmonary testing and bronchoscopy.

aspiration	32
bronchoscopy	60
catheterization	31
diagnostic procedures	32
doctor visit	319
hospital care	1723
inpatient care	1723
minimally invasive procedures	41
minor procedures	32
pleural drainage	11
pulmonary testing	126
resuscitation	12
thoracostomy	11
tracheal (windpipe) procedures	39

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Napoleon Antonio Puente-Cuellar, MD.

**Gender**
Male	454
Female	450

**Ethnicity**
Black / African American	32
Asian / Pacific Islander	2
Non-Hispanic White	553
Native American / Alaskan Native	0
Hispanic	299
Other	1

**Age**
75 to 84	280
85 and over	147
Less than 65	150
65 to 74	325

Average of Total of Conditions of Medicare patients treated by Dr. Napoleon Antonio Puente-Cuellar, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Napoleon Antonio Puente-Cuellar, MD treated were high cholesterol, hypertension, chronic kidney disease and ischemic heart disease.

Hypertension	60
High Cholesterol	59
Stroke	12
Ischemic Heart Disease	55
Depression	29
Chronic Kidney Disease	55
Asthma	18
Osteoporosis	9
Heart Failure	46
Chronic Obstructive Pulmonary Disease	36
Diabetes	45
Atrial Fibrillation	23
Cancer	14
Dementia	23

Education & Training

He completed residency at Zacamil National Hospital. He has a state license in Rhode Island.

Residency: Zacamil National Hospital

Licensed In: Rhode Island

Affiliations & Hospitals

Dr. Napoleon Antonio Puente-Cuellar, MD is associated with these hospitals and organizations:

Methodist Health System

Methodist Physicians

CHRISTUS Health

Baptist Health System

Baptist Hospital

Methodist Hospital Methodist Hospital Specialty and Transplant Methodist Hospital Stone Oak Methodist Hospital Texsan

TEXAS IPS LLC

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Napoleon Antonio Puente-Cuellar, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Intuitive Surgical, Inc.	$150,471 Da Vinci Surgical System $150,471
GlaxoSmithKline, LLC.	$2,519 NUCALA $1,208	TRELEGY ELLIPTA $731	ANORO $248	ANORO ELLIPTA $87	BREO $80	Other $167
Pulmonx Corporation	$1,401 Pulmonx Endobronchial Valve EBV $1,285	PULMONX CHARTIS TABLET CONSOLE $116
Covidien LP	$1,363 Interventional Lung Solutions $1,307	superDimension $56
AstraZeneca Pharmaceuticals LP	$867 SYMBICORT $368	FASENRA $204	BREZTRI $186	BEVESPI AEROSPHERE $43	TEZSPIRE $35	Other $31
Other	$5,781 DUPIXENT $428	OPSUMIT MACITENTAN $408	XARELTO $367	Perforomist $363	OFEV $301	Other $3,915

**Types of Payments**
Education	$133,062
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$12,815
Food and Beverage	$11,624
Travel and Lodging	$4,765
Gift	$137

Biography

Dr. Napoleon Puente-Cuellar is a specialist in critical care (intensive care medicine) and adult pulmonology. His hospital/clinic affiliations include Methodist Healthcare, CHRISTUS Health, and Baptist Health System.

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Dr. Napoleon Antonio Puente-Cuellar, MD

Office Locations

Some issues Dr. Napoleon Antonio Puente-Cuellar, MD can help you with:

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Napoleon Antonio Puente-Cuellar, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Napoleon Antonio Puente-Cuellar, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Napoleon Antonio Puente-Cuellar, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Napoleon Antonio Puente-Cuellar, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Napoleon Antonio Puente-Cuellar, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Napoleon Antonio Puente-Cuellar, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Napoleon Antonio Puente-Cuellar, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Napoleon Antonio Puente-Cuellar, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2013 - 2021

Average Medicare Patient Data From 2013 - 2021

Average of Total of Conditions of Medicare patients treated by Dr. Napoleon Antonio Puente-Cuellar, MD From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

Other Providers in San Antonio, TX