Lea Bonifacio Penales in Shreveport - Neonatal-perinatal Medicine

Lea Bonifacio Penales - NPI 1003809211

Lea Bonifacio Penales is a Neonatal-perinatal Medicine in Shreveport, Louisiana. Lea Bonifacio Penales practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Lea Bonifacio Penales is 1003809211. The last update date is 2015-12-07.

Lea Bonifacio Penales's current location address is 1202 Louisiana Ave, Shreveport, Louisiana. You can contact this provider via phone number 3182128946 and fax number 3182124153. The mailing address for Lea Bonifacio Penales is 1202 Louisiana Ave, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Lea Bonifacio Penales
Address 1202 Louisiana Ave, Shreveport, Louisiana
Phone Number 3182128946
Fax Number 3182124153
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1003809211
Provider Enumeration Date 2005-08-24
Last Updated Date 2015-12-07

Provider Mailing Address Detail

Address 1202 Louisiana Ave
City Shreveport
State Louisiana (LA)
Post Code 711013910
Phone Number 3182128946
Fax Number 3182124153

Provider's Primary Taxonomy Detail

Speciality Neonatal-perinatal Medicine
Taxonomy 2080N0001X
Licence No 4301084897
Definition:
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1816680 LA --

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FAQs about Lea Bonifacio Penales

What is the unique 10-digit identifier code assigned to Lea Bonifacio Penales by the Centers for Medicare & Medicaid Services?

The Lea Bonifacio Penales has been issued the NPI (National Provider Identifier) 1003809211 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Lea Bonifacio Penales's facilities are geographically located?

The facilities of Lea Bonifacio Penales are physically situated at the following location: 1202 Louisiana Ave, Shreveport, LA, 711013910.

What is Lea Bonifacio Penales's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lea Bonifacio Penales is Neonatal-perinatal Medicine, and the taxonomy code that categorizes this field of expertise is 2080N0001X.

When was the Lea Bonifacio Penales's 1003809211 issued?

The Lea Bonifacio Penales's 1003809211 was issued on 2005-08-24.

As of what date were the details related to Lea Bonifacio Penales most recently updated or revised?

The information pertaining to Lea Bonifacio Penales, including its address, specialty, and other relevant details, was last updated or revised on 2015-12-07.

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