Provider Demographics
NPI:1467615989
Name:LUIS F SOTO, LLC
Entity Type:Organization
Organization Name:LUIS F SOTO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:F
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-455-3500
Mailing Address - Street 1:4300 HOUMA BLVD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2932
Mailing Address - Country:US
Mailing Address - Phone:504-455-3500
Mailing Address - Fax:504-455-3006
Practice Address - Street 1:4300 HOUMA BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2932
Practice Address - Country:US
Practice Address - Phone:504-455-3500
Practice Address - Fax:504-455-3006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA06730R261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1367443Medicaid
LADN7158OtherMEDICARE RAILROAD
LA060010340OtherMEDICARE RAILROAD
LADN7158OtherMEDICARE RAILROAD
LAB64366Medicare UPIN
LA060010340OtherMEDICARE RAILROAD