Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 49498 | WI |
N | 208600000X | Surgeon | 49498 | WI |
Y | 2086S0122X | Plastic and Reconstructive Surgery | ME105409 | FL |
N | 2086S0122X | Plastic and Reconstructive Surgery | N2130 | TX |
NPI | 1063506905 |
---|---|
Provider Name | Dr. Luis Alejandro Jaramillo |
First Address | Orlando, FL 32837-6190 |
Second Address | Orlando, FL 32837-6190 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 27/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
202468901 | (05) | TX |
202468902 | CSHCN (01) | TX |
8BZ602 | BCBS (01) | TX |