Provider Demographics
NPI:1912721135
Name:SIGALA, LUIS ALFREDO
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:ALFREDO
Last Name:SIGALA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3826 ALAMEDA AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2509
Mailing Address - Country:US
Mailing Address - Phone:915-250-7725
Mailing Address - Fax:
Practice Address - Street 1:3826 ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2509
Practice Address - Country:US
Practice Address - Phone:915-250-7725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
No156FC0800XEye and Vision Services ProvidersTechnician/TechnologistContact Lens
No156FX1101XEye and Vision Services ProvidersTechnician/TechnologistOphthalmic Assistant
No332H00000XSuppliersEyewear Supplier