Provider Demographics
NPI:1053380436
Name:PIERRE-LOUIS, YVES E (MD)
Entity type:Individual
Prefix:
First Name:YVES
Middle Name:E
Last Name:PIERRE-LOUIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5827 CORPORATE WAY
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2000
Mailing Address - Country:US
Mailing Address - Phone:561-844-9443
Mailing Address - Fax:561-472-9692
Practice Address - Street 1:170 S BARFIELD HWY
Practice Address - Street 2:SUITE 103
Practice Address - City:PAHOKEE
Practice Address - State:FL
Practice Address - Zip Code:33476-1868
Practice Address - Country:US
Practice Address - Phone:561-924-6100
Practice Address - Fax:561-924-3405
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME68730207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL379540300Medicaid
FL27654OtherBCBS PROVIDER #
FL27654OtherBCBS PROVIDER #
FL379540300Medicaid