Doctor Name: | DR. LUIS ALBERTO CHAVEZ |
NPI Number: | 1447406343 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 51415-020 |
Business Practice Address: | 1879 Madison Ave New York, NY - 100352709 |
Business Phone Number: | 2124234000 |
Business Fax Number: | |
Mailing Address: | 2 W 120th St Apt 3n, NEW YORK |
State: | NY |
Postal Code: | 100276352 |
Phone Number: | 2128766064 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2008 |
NPI Last Update Date: | 08/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 51415-020 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |