Dr. Luis Federico Matta II
Emergency Physician
71205 Highway 21 Ste 1
Covington
, Louisiana 70433-7121
Dr. Luis Federico Matta II
Emergency Physician
71205 Highway 21 Ste 1
Covington
, Louisiana 70433-7121
(985) 809-8868
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Luis Federico Matta II
- 71205 Highway 21 Ste 1
- Covington, LA
- Zip : 70433-7121
- Phone : (985) 809-8868
Second Address
- Dr. Luis Federico Matta II
- 71205 Highway 21 Ste 1
- Covington, LA
- Zip : 70433-7121
- Phone : (985) 809-8868
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 019575 | LA |
National Provider Identifier
| NPI | 1003817941 |
|---|---|
| Provider Name | Dr. Luis Federico Matta II |
| First Address | Covington, LA 70433-7121 |
| Second Address | Covington, LA 70433-7121 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2005 |
| Last Update Date | 30/04/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E65824 | (02) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.