Maceira-Rodriguez, Luis Raul
Maceira-Rodriguez, Luis Raul is an sole proprietor health care provider with primary practice located at 2896 Summer Swan Dr , Orlando FL 32825-7404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Maceira-Rodriguez, Luis Raul can be contacted via phone (407) 207-2146.Contact Information
Primary practice address
2896 Summer Swan Dr
Orlando FL 32825-7404
Phone: (407) 207-2146
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME60036 | Florida |
Profile Details
NPI number | 1831193770 |
---|---|
LBN Legal business name | Maceira-Rodriguez, Luis Raul |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 9th, 2005 |
Last updated | Feb 19th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831193770 | NPPES |
Kentucky | MEDICAID | 370499899 | |
Kentucky | MEDICAID | 370499899 | |
Kentucky | Other | 12489 | |
Kentucky | Other | 12489 |
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