Individual
ENIO LUIS PRIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13846 US HIGHWAY 1, SEBASTIAN, FL 32958-3231
(772) 581-1881
(772) 581-1885
Mailing address
13846 US HIGHWAY 1, SEBASTIAN, FL 32958-3231
(772) 581-1881
(772) 581-1885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME80380
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216600
WELLCARE
FL
01
—
2444663
AETNA
FL
05
—
258873100
—
FL
01
—
35403
BLUE CROSS BLUE SHIELD
FL
01
—
5735911001
CIGNA
FL
01
—
7936152
AETNA
FL
01
—
P00065585
RAILROAD MEDICARE
FL
Enumeration date
12/19/2005
Last updated
02/23/2024
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