MR. Luis Augusto Medina Mora, M.D. is a student in an organized health care education training program in Jamaica, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Luis Augusto Medina Mora, M.D. NPI is 1164086369. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
82-68 164TH STREET
JAMAICA, NY
ZIP 11432
Phone: (718) 883-3000
The enumeration date for this NPI number is 4/24/2019 and was last updated on 2/5/2020.