Provider Demographics
NPI:1962455568
Name:VIAMONTES, LOUIS A (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:A
Last Name:VIAMONTES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4440 PGA BLVD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6539
Mailing Address - Country:US
Mailing Address - Phone:772-486-2538
Mailing Address - Fax:561-249-3062
Practice Address - Street 1:4440 PGA BLVD
Practice Address - Street 2:SUITE 600
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-6539
Practice Address - Country:US
Practice Address - Phone:772-486-2538
Practice Address - Fax:561-249-3062
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME44853208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD85759Medicare UPIN