Healthcare Provider Details

I. General information

NPI: 1558856708
Provider Name (Legal Business Name): ANNIE YEOVAUNA CONTRERAS DILLUVIO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2018
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 VETERANS BLVD STE B
DENHAM SPRINGS LA
70726-4726
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 225-665-4554
  • Fax: 225-665-6995
Mailing address:
  • Phone: 225-665-4554
  • Fax: 225-765-9196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number343680
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number343680
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: