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NPI Code Detail

MEDICARE: LUIS PALOMINO MD

MEDICARE: LUIS PALOMINO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician37787AL
2390200000XStudent in an Organized Health Care Education/Training Program
3207R00000XInternal Medicine Physician2021-02309NC

General Provider Information

NPI Number : 1881127645
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS PALOMINO MD
Provider Business Mailing Address
First Line : 1000 NOVUS LN APT 332
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27514-6024
Country : US
Telephone Number : 713-534-3082
Fax Number :
Provider Business Practice Location Address
First Line : 317 WESTERN BLVD
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-6379
Country : US
Telephone Number : 910-577-2345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2017
Last Update Date : 06/22/2023

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