Individual provider Active NPI

Juan A Cuan Lau, MD

  • General Practice Physician
  • Juncos, PR
National Provider Identifier
1306832282
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14934 Issued in PR
Practice address
15 Calle Teodomiro Delfaus
Juncos, PR 00777
Phone
(787) 713-5555
Fax
(787) 713-5555
NPI assigned
Sep 26, 2005
Last updated
Jul 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14934 PR Primary

Addresses

Primary practice location

15 Calle Teodomiro Delfaus
Juncos, PR 00777

Mailing address

PO Box 3221
Juncos, PR 00777-6221
Phone (787) 414-1951

Other identifiers 1

IdentifierTypeStateIssuer
14934OtherPRLICENCE

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
I20031104000071 PR Practitioner - General Practice 1254243777 Practice locations: Juncos, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Teodomiro Delfaus
Suite 15
Juncos, PR 00777-6221
Phone (787) 414-1951

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14934PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CZ Medical Services Corp Past Accepting new patients
Juncos First Medical Center Inc. Past Accepting new patients

Organizations & group practices 2

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1306832282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3221",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007776221",
            "telephone_number": "787-414-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CALLE TEODOMIRO DELFAUS",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "787-713-5555",
            "fax_number": "787-713-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUAN LAU",
        "first_name": "JUAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "14934",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juncos, PR

Sources for this page

Verify at the official NPI Registry.