Jaramillo, Luis Fernando

Jaramillo, Luis Fernando is an individual health care provider with primary practice located at 301 60Th St Lower Level, West New York NJ 07093-5422. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jaramillo, Luis Fernando can be contacted via phone (201) 295-3033.

Contact Information

Primary practice address
301 60Th St Lower Level West New York NJ 07093-5422
Fax: (201) 295-8592
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MAO7560000 New Jersey

Profile Details

NPI number 1952361784
LBN Legal business name Jaramillo, Luis Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Mar 17th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952361784 NPPES
New Jersey MEDICAID 0104540

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