Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Luis Mario Astudillo, MD

Individual provider Cardiovascular Disease Physician · NPI 1114974623

Luis Mario Astudillo, MD is a Cardiovascular Disease (Cardiology) in Bronx, New York. Qualified in 1992, 34 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
34
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3131 Grand Concourse Ste 1B
Bronx, NY 10468-1442
Phone: (718) 295-7900
Fax: (718) 295-4160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 243249 (NY)

Record details

NPI number1114974623
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 28, 2006
Last updated in NPPESMarch 4, 2011
Mailing addressPo Box 837, Hartsdale, NY 10530-0837

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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