Luis Loretto Cuellar in Valparaiso - General Practice

Luis Loretto Cuellar - NPI 1053470104

Luis Loretto Cuellar is a General Practice in Valparaiso, Indiana. Luis Loretto Cuellar practices all healthcare services and medical treatments related to General Practice. The NPI Number for Luis Loretto Cuellar is 1053470104. The last update date is 2007-07-08.

Luis Loretto Cuellar's current location address is 2005 Roosevelt Rd, Valparaiso, Indiana. You can contact this provider via phone number 2195319293 and fax number 2195310537. The mailing address for Luis Loretto Cuellar is 2005 Roosevelt Rd, Valparaiso, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Luis Loretto Cuellar
Address 2005 Roosevelt Rd, Valparaiso, Indiana
Phone Number 2195319293
Fax Number 2195310537
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1053470104
Provider Enumeration Date 2006-12-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2005 Roosevelt Rd
City Valparaiso
State Indiana (IN)
Post Code 463832746
Phone Number 2195319293
Fax Number 2195310537

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 12010544A
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20044390 IN --

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FAQs about Luis Loretto Cuellar

What is the unique 10-digit identification code assigned to Luis Loretto Cuellar by the Centers for Medicare & Medicaid Services?

The Luis Loretto Cuellar has been issued the NPI (National Provider Identifier) 1053470104, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Luis Loretto Cuellar is physically located?

The Luis Loretto Cuellar is physically situated at the following address: 2005 Roosevelt Rd, Valparaiso, IN, 463832746.

What is the area of specialization for Luis Loretto Cuellar, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Luis Loretto Cuellar is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did Luis Loretto Cuellar receive its 1053470104 assignment from the Centers for Medicare & Medicaid Services?

The Luis Loretto Cuellar was assigned its 1053470104 on 2006-12-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Luis Loretto Cuellar, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Luis Loretto Cuellar, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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