Provider Demographics
NPI:1275411803
Name:ALVES SIDNEY FILHO, LUZIELIO (MD)
Entity type:Individual
Prefix:DR
First Name:LUZIELIO
Middle Name:
Last Name:ALVES SIDNEY FILHO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2619 MCKINNEY AVE APT 1708
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-3074
Mailing Address - Country:US
Mailing Address - Phone:972-209-4896
Mailing Address - Fax:
Practice Address - Street 1:620 W 153RD ST APT 22A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031-0836
Practice Address - Country:US
Practice Address - Phone:972-209-4896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY338880208G00000X, 204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)