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Contact Information

LUIS A CISNEROS, MD
1000 36TH AV
VERO BEACH, FL32967
 Phone: 772-567-4311
 Fax: 570-693-2123
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LUIS A CISNEROS · (Male)

NPI # 1184703399
Status Active
Credentials MD
Entity Individual
Enumeration date 11/06/2006
Last updated 10/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME99482
  • PA Medicaid 001771032
  • PA Other 2257546 AETNA
Hospital affiliation(s)
  • INDIAN RIVER MEDICAL CENTER - (Acute Care)
    1000 36TH ST
    VERO BEACH, FL 32960
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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