Provider Demographics
NPI:1154565026
Name:CARRERA, LOUIS ALEXANDER (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:ALEXANDER
Last Name:CARRERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1833 E 13TH ST
Mailing Address - Street 2:STE 1B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2883
Mailing Address - Country:US
Mailing Address - Phone:917-207-6806
Mailing Address - Fax:866-707-3683
Practice Address - Street 1:1833 E 13TH ST STE 1B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2883
Practice Address - Country:US
Practice Address - Phone:917-207-6806
Practice Address - Fax:347-824-2014
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253178207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine