Luzviminda Adriano, MD

Individual provider Active NPI Obstetrics & Gynecology Physician · Pago Pago, AS

NPI 1174970552 · NPPES record last updated May 16, 2016

Key facts

NPI
1174970552
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
3087-C (AS)
Practice address
96799 Turner Drive
Pago Pago, AS 96799
Phone
(684) 633-1222
NPI assigned
May 16, 2016
Sex
Female
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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3087-CASMDObstetrics & Gynecology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 3087-C AS Yes

Addresses

Primary practice location

96799 Turner Drive
Pago Pago, AS 96799

Mailing address

PO Box LBJ
Pago Pago, AS 96799-9994
Phone (684) 633-1222

Other providers in Pago Pago, AS

All providers in Pago Pago, AS · Obstetrics & Gynecology Physician in American Samoa

Sources for this page

Verify at the official NPI Registry.