| Doctor Name: | DR. LUIS E. MOQUETE |
| NPI Number: | 1740410141 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 163733 |
| Business Practice Address: | 486 E Tremont Ave Bronx, NY - 104574437 |
| Business Phone Number: | 6463935146 |
| Business Fax Number: | 6463935150 |
| Mailing Address: | 70 Locust Ave, Apartment 103 B NEW ROCHELLE |
| State: | NY |
| Postal Code: | 108017361 |
| Phone Number: | 4078083151 |
| Fax Number: | |
| NPI Enumeration Date: | 07/20/2009 |
| NPI Last Update Date: | 07/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 163733 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |