Ramon Lustestica Ignacio in Salt Lake City - Internal Medicine

Ramon Lustestica Ignacio - NPI 1043405814

Ramon Lustestica Ignacio is a Internal Medicine in Salt Lake City, Utah. Ramon Lustestica Ignacio practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Ramon Lustestica Ignacio is 1043405814. The last update date is 2018-03-17.

Ramon Lustestica Ignacio's current location address is Po Box 27128, Salt Lake City, Utah. You can contact this provider via phone number 4352512992. The mailing address for Ramon Lustestica Ignacio is Po Box 27128, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Ramon Lustestica Ignacio
Address Po Box 27128, Salt Lake City, Utah
Phone Number 4352512992
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1043405814
Provider Enumeration Date 2007-09-13
Last Updated Date 2018-03-17

Provider Mailing Address Detail

Address Po Box 27128
City Salt Lake City
State Utah (UT)
Post Code 841270128
Phone Number 4352512992
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 64649
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1393936 AMERIGROUP
GA1116 SC --
486524862A GA --
P00870118 RAILROAD MEDICARE
564147 GA WELLCARE
52289319-001 GA BCBS

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FAQs about Ramon Lustestica Ignacio

What is the Ramon Lustestica Ignacio's unique identification number?

The Ramon Lustestica Ignacio has been assigned the NPI (National Provider Identifier) Number 1043405814 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Ramon Lustestica Ignacio is physically located?

The Ramon Lustestica Ignacio is situated at the following address: Po Box 27128, Salt Lake City, UT 841270128.

What is Ramon Lustestica Ignacio's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Ramon Lustestica Ignacio is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1043405814 to Ramon Lustestica Ignacio?

The Centers for Medicare & Medicaid Services assigned the 1043405814 to Ramon Lustestica Ignacio on 2007-09-13.

As of what date were the details pertaining to Ramon Lustestica Ignacio last refreshed?

The information related to the Ramon Lustestica Ignacio, including its address, specialty, and other relevant details, was last updated on 2018-03-17.

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