Individual
LUIS O VASCONEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
12399
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000014647
BLUE CROSS
AL
05
—
000014647
—
AL
05
—
009932092
—
AL
01
—
051529687
BLUE CROSS
AL
01
—
A47233
VIVA
AL
Enumeration date
07/24/2006
Last updated
05/28/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us