Most Relevant Information
Provider Data
| NPI Number: | 1003817941 |
| Provider Name: | LUIS FEDERICO MATTA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 019575 |
Most Important Dates
| Enumeration Date: | 08/02/2005 |
| Last Updated: | 04/30/2009 |
Provider Practice Location
71205 HIGHWAY 21 STE 1
COVINGTON
LA
704337121
Practice Location Phone/Fax
| Phone: | 9858098868 |
| Fax: |
Provider Mailing Location
71205 HIGHWAY 21 STE 1
COVINGTON
LA
704337121
Provider Mailing Phone/Fax
| Phone: | 9858098868 |
| Fax: |