Healthcare Provider Details

I. General information

NPI: 1225961931
Provider Name (Legal Business Name): TULIO BONESI ALVARENGA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CANAL ST
NEW ORLEANS LA
70112-3018
US

IV. Provider business mailing address

2021 PERDIDO ST FL 5
NEW ORLEANS LA
70112-1352
US

V. Phone/Fax

Practice location:
  • Phone: 504-702-4200
  • Fax:
Mailing address:
  • Phone: 504-568-2688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number353610
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: