Provider Demographics
NPI:1619964558
Name:TALENTO, LOUIS VINCENT (DOM)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:VINCENT
Last Name:TALENTO
Suffix:
Gender:M
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711-A ENCINO PL NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-2652
Mailing Address - Country:US
Mailing Address - Phone:505-243-8058
Mailing Address - Fax:505-243-8057
Practice Address - Street 1:711-A ENCINO PL NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-2652
Practice Address - Country:US
Practice Address - Phone:505-243-8058
Practice Address - Fax:505-243-8057
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM031RX1171100000X
NM031171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist