LUIS M TAVERAS

PUYALLUP, WA
NPI1447298278
Other NameLUIS M TAVERAS BROSSA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD60994726)
Additional Taxonomies207Q00000X Family Medicine
(Licence: PR  15060)
207Q00000X Family Medicine
(Licence: MO  2010028388)
2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine
(Licence: PR  15060)
Enumeration Date2006-06-03
Last Update Date2024-04-08
Business Address
Dr. LUIS M TAVERAS M.D.
10217 125TH STREET CT E
PUYALLUP, WA 98374-2761
Phone number: 253-864-4550
Mailing Address
Dr. LUIS M TAVERAS M.D.
3250 ZEMKE AVE
TAMPA, FL 33621-5023
Phone number: 813-334-5782