Provider Demographics
NPI:1073402558
Name:SIERRA, LUIS FELIPE (SA-C)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:FELIPE
Last Name:SIERRA
Suffix:
Gender:M
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 EDUCATION DR UNIT 203
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-0173
Mailing Address - Country:US
Mailing Address - Phone:828-458-5529
Mailing Address - Fax:
Practice Address - Street 1:21 EDUCATION DR UNIT 203
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-0173
Practice Address - Country:US
Practice Address - Phone:828-458-5529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI25-301246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant