Provider Demographics
NPI:1437636883
Name:CAJINA, LUIS
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:
Last Name:CAJINA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2041 SEAGIRT BLVD APT 2D
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-5801
Mailing Address - Country:US
Mailing Address - Phone:386-965-0053
Mailing Address - Fax:
Practice Address - Street 1:2041 SEAGIRT BLVD APT 2D
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-5801
Practice Address - Country:US
Practice Address - Phone:386-965-0053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-27
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9190560163W00000X
NY805865163W00000X
NY4051612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No163W00000XNursing Service ProvidersRegistered Nurse