Luis Huezo Jr.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

295936 Issued in NY

Practice address

51 Wildwood Drive
South Fallsburg, NY 12779

Phone

(845) 428-0020

NPI assigned

Dec 8, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1316312937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "SOUTH FALLSBURG",
            "state": "NY",
            "postal_code": "127790518",
            "telephone_number": "845-428-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WILDWOOD DRIVE",
            "city": "SOUTH FALLSBURG",
            "state": "NY",
            "postal_code": "12779",
            "telephone_number": "845-428-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEZO",
        "first_name": "LUIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "295936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Ganz, FNP
• Peter A Genco, GENERAL DENTIST DMD
• Richard Genco
• Kenneth Raymond Gorzen, L.M.T
• Aliza Miriam Grunblatt, PHARMD
• LCSW Consulting PC
• Medi Car Corp.
• Peter Genco
• Prodoula Care Inc
• Chaya Protovin

• Licensed Practical Nurse in South Fallsburg, NY
• Providers in South Fallsburg, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.