Marcos Raymundo, Luis Augusto
Marcos Raymundo, Luis Augusto is an individual health care provider with primary practice located at Hsc T15 080 , Stony Brook NY 11794-8153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Marcos Raymundo, Luis Augusto can be contacted via phone (631) 444-3490.Contact Information
Primary practice address
Hsc T15 080
Stony Brook NY 11794-8153
Phone: (631) 444-3490
Fax: (631) 638-7518
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 21387 | Mississippi |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1205161015 |
|---|---|
| LBN Legal business name | Marcos Raymundo, Luis Augusto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2009 |
| Last updated | Jul 5th, 2015 - 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 | 1205161015 | NPPES |
| Mississippi | Other | 06575513 | MAGNOLIA |
| Mississippi | Other | 9576702 | MAGNOLIA |
| Mississippi | MEDICAID | 06575513 | MAGNOLIA |
| Mississippi | Other | 302I449980 | MAGNOLIA |
| Mississippi | Other | 3310476 | MAGNOLIA |
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