Luis Eduardo Aguerrevere, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

38332 Issued in TX

Practice address

1609 W Frank Ave Ste B
Lufkin, TX 75904-3193

Phone

(936) 272-0555

Fax

(936) 272-0555

NPI assigned

Dec 21, 2019

Last updated

Dec 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Luis Eduardo Aguerrevere Suarez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576886400000",
    "number": "1013556059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 W FRANK AVE STE B",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043193",
            "telephone_number": "936-272-0555",
            "fax_number": "936-272-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 W FRANK AVE STE B",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043193",
            "telephone_number": "936-272-0555",
            "fax_number": "936-272-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUERREVERE",
        "first_name": "LUIS",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-21",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "AGUERREVERE SUAREZ",
            "middle_name": "EDUARDO",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychologist in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.