Male or Other

Luis A. Taveras PA

Medical Physician Assistant in Saint Cloud, FL(View on Map)

Full Name

Luis Armando Taveras PA

NPI Number

1922785245

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/28/2023

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Puerto Rico

License Number

1500PA

Contact
Information

Purpose

Mailing
Location

Address

324 TALISI LOOP
324 TALISI LOOP

City

Saint Cloud
Saint Cloud

State

FL
FL

Postal Code

34771-9162
34771-9162

Country

US
US

Telephone Number

(407) 961-9002
(407) 961-9002

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/28/2023

Provider Address

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