Eduardo Plantilla, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

121728 Issued in NY

Practice address

1366 E 32ND St
Brooklyn, NY 11210-5418

Phone

(718) 253-5831

NPI assigned

Nov 7, 2006

Last updated

Dec 27, 2012By 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1669541355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BEACH 141ST ST",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941227",
            "telephone_number": "718-945-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 E 32ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105418",
            "telephone_number": "718-253-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANTILLA",
        "first_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "121728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00303104",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Planet of Butterflies Incorporated
• Planet RX Chemists LTD
• Planned Parenthood of Greater New York Inc
• Laura Ann Plante, LMSW
• Robert Plante, P.T.
• Lina S Plantilla, MD, FAAD
• Moise Leslie Plantin, MD
• Patrick Plantin, MD
• Planting Seeds Licensed Behavior Analysis PLLC
• Lea Planzos

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.