Luis Baltazar Baptista, IDMT
Individual provider Active NPI Independent Duty Medical Technicians · Jber, AK
NPI 1104303320 · NPPES record last updated Jul 20, 2018
Key facts
- NPI
- 1104303320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Medical Technicians 1710I1003X
- Practice address
- 5955 Zeamer Ave
Jber, AK 99506-3702 - Phone
- (978) 606-7063
- NPI assigned
- Jul 20, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Yes |
Addresses
Primary practice location
5955 Zeamer Ave
Jber, AK 99506-3702
Mailing address
5955 Zeamer Ave
Jber, AK 99506-3702
Phone (978) 606-7063
Other providers in Jber, AK
- David Baden
- Meghan Bailey
- Sharon Felicia Bailey
- Desiree Baird
- Thomas William Baker
- Richard L Barnard
- Sherry Barrett
- Paul Basel
- Kaitlyn Jessica Bathold
- Jennifer Lynn Bauer
All providers in Jber, AK · Independent Duty Medical Technicians in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.