| Doctor Name: | DR. LUIS M TAVERAS |
| NPI Number: | 1447298278 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 15060 |
| Business Practice Address: | 1 Choctaw Way Talihina, OK - 745712022 |
| Business Phone Number: | 8133345782 |
| Business Fax Number: | 7754293349 |
| Mailing Address: | 1 Choctaw Way, TALIHINA |
| State: | OK |
| Postal Code: | 745712022 |
| Phone Number: | 8133345782 |
| Fax Number: | 7754293349 |
| NPI Enumeration Date: | 06/03/2006 |
| NPI Last Update Date: | 06/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2081P0004X |
| License Number: | 15060 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Physical Medicine & Rehabilitation |
| Taxonomy Specialization: | Spinal Cord Injury Medicine |
| Taxonomy Definition: | A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |