| Luis F Soto, Llc | |
|
4300 Houma Blvd Suite 107 Metairie LA 70006-2932 | |
| (504) 455-3500 | |
| (504) 455-3006 |
| Full Name | Luis F Soto, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4300 Houma Blvd, Metairie, Louisiana |
| Authorized Official Name and Position | Luis F Soto (PHYSICIAN) |
| Authorized Official Contact | 5044553500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis F Soto, Llc 4300 Houma Blvd Suite 107 Metairie LA 70006-2932 Ph: (504) 455-3500 | Luis F Soto, Llc 4300 Houma Blvd Suite 107 Metairie LA 70006-2932 Ph: (504) 455-3500 |
| NPI Number | 1467615989 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 07/13/2009 |
| Medicare PECOS PAC ID | 9537234174 |
|---|---|
| Medicare Enrollment ID | O20080818000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467615989 | NPI | - | NPPES |
| 1367443 | Medicaid | LA | |
| DN7158 | Other | LA | MEDICARE RAILROAD |
| 060010340 | Other | LA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 06730R (Louisiana) | Primary |
| Provider Name | Luis F Soto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124064092 PECOS PAC ID: 6305743949 Enrollment ID: I20031212000751 |
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