Alfonso G Llanto MD PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

AL038737 Issued in MI

Legal business name

ALFONSO G LLANTO MD PC

Practice address

3973 M 140
Watervliet, MI 49098

Phone

(269) 463-5711

Fax

(269) 463-2885

NPI assigned

Sep 7, 2006

Last updated

Jun 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Josephine A Llanto

Title

Office Manager

Phone

(269) 463-5711

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1750484556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 127",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "49098",
            "telephone_number": "269-463-5711",
            "fax_number": "269-463-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3973 M 140",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "49098",
            "telephone_number": "269-463-5711",
            "fax_number": "269-463-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFONSO G LLANTO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "LLANTO",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "269-463-5711",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "AL038737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1101156072",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2093395",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00061231",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Watervliet, MI
• Providers in Watervliet, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.