Luis Antonio Clavell, M.D.

Primary specialty

Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X

License

5762 Issued in PR

Practice address

252 Calle San Jorge
Suite #504 San Jorge Medical Building
San Juan, PR 00912-3310

Phone

(787) 728-1575

Fax

(787) 726-0402

NPI assigned

Dec 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• San Jorge Childrens Medical Speialties

  • Pediatric Hematology & Oncology Physician
  • San Juan, PR
  • NPI 1689981888

  Pediatric Hematology-Oncology

  NPD
• SPR Pediatric & Aya Hematology-Oncology Partners LLC

  • Pediatric Hematology & Oncology Physician
  • San Juan, PR
  • NPI 1194560631

  Pediatric Hematology-Oncology

  NPD

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1487639845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 CALLE SAN JORGE STE 504",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123241",
            "telephone_number": "787-728-1575",
            "fax_number": "787-726-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 CALLE SAN JORGE",
            "address_2": "SUITE #504 SAN JORGE MEDICAL BUILDING",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123310",
            "telephone_number": "787-728-1575",
            "fax_number": "787-726-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAVELL",
        "first_name": "LUIS",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "PR",
            "license": "5762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38112500",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Jose Claudio Villamil, M.D
• Alexandra Claudio-Marcano, MD
• Hector Rafael Claudio, M.D
• Norma A Claudio, MD
• Reinaldo Claudio, MD
• Zuania Y Clemente, DIETITIAN
• Consuelo Climent-Peris, MD
• Clinic Management Corporation of America
• Clinica de Cirugia Oral Y Maxilofacial de Caparra Corp
• Clinica de Cirugia Oral Y Maxilofacial de Caparra CSP

• Pediatric Hematology & Oncology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Pediatric Hematology & Oncology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.