Active NPI
Aileen Dolores Lucca, M.D.
- Pediatrics Physician
- San Juan, PR
National Provider Identifier
1437357076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 8862
- Practice address
- 2020 Ave Borinquen
San Juan, PR 00915-3822 - Phone
- (787) 268-4171
- Fax
- (787) 727-3695
- NPI assigned
- Jul 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 8862 | PR | Primary |
Addresses
Primary practice location
2020 Ave Borinquen
San Juan, PR 00915-3822
Mailing address
1, #5, Urb. Villas Palmar Sur
Carolina, PR 00979-6220
Phone (787) 602-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8862 | PR | MD | Pediatrics Physician |
Interoperability endpoints
- aileen.lucca@hpmpr.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366675200000",
"number": "1437357076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1, #5, URB. VILLAS PALMAR SUR",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009796220",
"telephone_number": "787-602-7200",
"fax_number": "787-268-3481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 AVE BORINQUEN",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009153822",
"telephone_number": "787-268-4171",
"fax_number": "787-727-3695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCCA",
"first_name": "AILEEN",
"middle_name": "DOLORES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2013-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "8862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.