Individual provider Active NPI

Luis E Tavarez Alarcon, M.D.

  • Family Medicine Physician
  • Ciales, PR
National Provider Identifier
1306814710
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
011837 Issued in PR
Practice address
Road 149 KM 12.3
Ciales, PR 00638
Phone
(787) 871-0601
Fax
(787) 871-3960
NPI assigned
Mar 10, 2006
Last updated
Dec 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 011837 PR Primary

Addresses

Primary practice location

Road 149 KM 12.3
Ciales, PR 00638

Mailing address

PO Box 1427
Ciales, PR 00638-1427
Phone (787) 871-0601

Other identifiers 1

IdentifierTypeStateIssuer
89771OtherPRMEDICAL SERVICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110201000313 PR Practitioner - Family Practice 3577742931 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
011837PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prymed Medical Care Inc CurrentSince Nov 21, 2010 Accepting new patients
Prymed Medical Care, Inc CurrentSince Nov 21, 2010 Accepting new patients
Prymed Medical Care Inc Past Accepting new patients
Prymed Medical Care, Inc Family Medicine Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1306814710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1427",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006381427",
            "telephone_number": "787-871-0601",
            "fax_number": "787-871-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 149 KM 12.3",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "00638",
            "telephone_number": "787-871-0601",
            "fax_number": "787-871-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAREZ ALARCON",
        "first_name": "LUIS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "011837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL SERVICE",
            "identifier": "89771",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ciales, PR

Sources for this page

Verify at the official NPI Registry.