Luis Ivan Canales in Massena - Adolescent Medicine
Luis Ivan Canales - NPI 1518969260
Luis Ivan Canales is a Adolescent Medicine in Massena, New York. Luis Ivan Canales practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Luis Ivan Canales is 1518969260. The last update date is 2013-06-04.
Luis Ivan Canales's current location address is Po Box 217, Massena, New York. You can contact this provider via phone number 3157691667 and fax number 3157696430. The mailing address for Luis Ivan Canales is Po Box 217, Massena, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Luis Ivan Canales |
|---|---|
| Address | Po Box 217, Massena, New York |
| Phone Number | 3157691667 |
| Fax Number | 3157696430 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1518969260 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2013-06-04 |
Provider Mailing Address Detail
| Address | Po Box 217 |
|---|---|
| City | Massena |
| State | New York (NY) |
| Post Code | 136620217 |
| Phone Number | 3157691667 |
| Fax Number | 3157696430 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Ra0000X |
| Licence No | 208001 |
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Definition: An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1794976 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Luis Ivan Canales by the Centers for Medicare & Medicaid Services?
The Luis Ivan Canales has been issued the NPI (National Provider Identifier) 1518969260, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Luis Ivan Canales's facilities are situated?
The facilities of Luis Ivan Canales are physically located at the following address: Po Box 217, Massena, NY, 136620217.
What is Luis Ivan Canales's area of expertise and its corresponding taxonomy classification?
The Luis Ivan Canales's field of specialization is Adolescent Medicine, and it falls under the taxonomy code 207Ra0000X, which categorizes healthcare providers based on their areas of practice.
When was the Luis Ivan Canales's 1518969260 issued?
The Luis Ivan Canales's 1518969260 was issued on 2005-08-12.
When was the Luis Ivan Canales's information last updated?
The Luis Ivan Canales's information was last updated on 2013-06-04.