Provider Demographics
NPI:1386759231
Name:ALMONTE, LUIS A (MD)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:A
Last Name:ALMONTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8501 110TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-1245
Mailing Address - Country:US
Mailing Address - Phone:718-323-3919
Mailing Address - Fax:718-323-3918
Practice Address - Street 1:8811 101ST AVE
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11416-2118
Practice Address - Country:US
Practice Address - Phone:718-323-3919
Practice Address - Fax:718-323-3918
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217647207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02094411Medicaid
05678GMedicare ID - Type Unspecified
NY02094411Medicaid