Provider Demographics
NPI:1437351533
Name:CARRASQUERO-ARISMENDI, LUISA D (MD)
Entity Type:Individual
Prefix:
First Name:LUISA
Middle Name:D
Last Name:CARRASQUERO-ARISMENDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 WEKIVA SPRINGS RD STE 110
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-6157
Mailing Address - Country:US
Mailing Address - Phone:407-790-7998
Mailing Address - Fax:407-951-8821
Practice Address - Street 1:407 WEKIVA SPRINGS RD STE 110
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-6157
Practice Address - Country:US
Practice Address - Phone:407-790-7998
Practice Address - Fax:407-951-8821
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN8089208000000X
FLME99334208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics