Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101265909 | VA |
N | 208000000X | Pediatrician | 282898 | NY |
Y | 2080P0205X | Pediatric Endocrinologist | 0101265909 | VA |
N | 2080P0205X | Pediatric Endocrinologist | 282898 | NY |
NPI | 1316285521 |
---|---|
Provider Name | Dr. Luis H Zamora-Siliezar |
First Address | Farmville, VA 23901-2211 |
Second Address | Farmville, VA 23901-2211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2013 |
Last Update Date | 31/01/2022 |