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

Mr. Luis Antonio Caceres Villalta, MD

Individual provider Adult Medicine Physician · NPI 1053803742

Mr. Luis Antonio Caceres Villalta, MD is an Adult Medicine Physician in Corona, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3716 108th St
Corona, NY 11368-2025
Phone: (718) 651-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 310925-01 (NY)

Record details

NPI number1053803742
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2018
Last updated in NPPESJuly 7, 2021
Certification dateJuly 7, 2021