Dr Rafael Luzardo Mejias Servicios Medicos de Puerto Rico

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10607 Issued in PR

Legal business name

DR RAFAEL LUZARDO MEJIAS SERVICIOS MEDICOS DE PUERTO RICO

Practice address

405 Calle San Francisco
Piso 2 Oficina 2 C
San Juan, PR 00901-1772

Phone

(787) 725-4548

Fax

(787) 721-0279

NPI assigned

Nov 3, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Olga L Perez

Title

Coordinadora

Phone

(787) 725-4548

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1306147665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9023558",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009023558",
            "telephone_number": "787-725-4548",
            "fax_number": "787-721-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CALLE SAN FRANCISCO",
            "address_2": "PISO 2 OFICINA 2 C",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009011772",
            "telephone_number": "787-725-4548",
            "fax_number": "787-721-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RAFAEL LUZARDO MEJIAS SERVICIOS MEDICOS DE PUERTO RICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COORDINADORA",
        "authorized_official_telephone_number": "787-725-4548",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "10607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.