Provider Demographics
NPI:1619937042
Name:IBERIA FAMILYMD, LLC
Entity Type:Organization
Organization Name:IBERIA FAMILYMD, LLC
Other - Org Name:ALBERTO M. PALMIANO,M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:M
Authorized Official - Last Name:PALMIANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-364-0938
Mailing Address - Street 1:2312 E MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-4064
Mailing Address - Country:US
Mailing Address - Phone:337-364-0938
Mailing Address - Fax:337-359-9024
Practice Address - Street 1:2312 E MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-4064
Practice Address - Country:US
Practice Address - Phone:337-364-0938
Practice Address - Fax:337-359-9024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-28
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA09703R261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1967084Medicaid
LA5R768Medicare PIN
LA5BC56Medicare PIN
LAF59097Medicare UPIN