Mr Luis Huezo Jr, is a
Licensed Practical Nurse based in South Fallsburg, New York. Mr Luis Huezo Jr is licensed to practice in New York (license number 295936) and his current practice location is
51 Wildwood Drive, South Fallsburg, New York. He can be reached at his office (for appointments etc.) via phone at
(845) 428-0020.
NPI number for Mr Luis Huezo Jr is 1316312937 and his current mailing address is Po Box 518, South Fallsburg, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316312937.
Provider's Profile
| Full Name | Mr Luis Huezo Jr |
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| Gender | Male |
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| Speciality | Licensed Practical Nurse |
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| Location | 51 Wildwood Drive, South Fallsburg, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316312937
- Provider Enumeration Date: 12/08/2015
- Last Update Date: 12/08/2015
Medical Identifiers
Medical identifiers for Mr Luis Huezo Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316312937 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 295936 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Luis Huezo Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Luis Huezo Jr,
Po Box 518,
South Fallsburg, NY 12779-0518
Ph: (845) 428-0020 | Mr Luis Huezo Jr,
51 Wildwood Drive,
South Fallsburg, NY 12779
Ph: (845) 428-0020 |
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