SearchNew York207QA0505X

Luis Caceres Villalta, M.D

NPI 1053803742 · on the registry since 2018

Practice

Address
3716 108th St
Corona, NY 11368
Phone
(718) 651-4000
Organisation at this address
Urban Health Plan, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
207QA0505X
207QA0505X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-07-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York