Rafael R. Luzardo, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10607 Issued in PR

Practice address

1225 Ponce de Leon Ave
Eficio Vig Tower Suite 702
San Juan, PR 00907-1772

Phone

(787) 725-4548

Fax

(877) 777-3208

NPI assigned

Apr 19, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• L & G Medical Group Inc

  • General Practice Physician
  • San Juan, PR
  • NPI 1780076471
  Authorized official Same address or phone
• Puerto Rico Medical Group

  • General Practice Physician
  • San Juan, PR
  • NPI 1043512197
  Authorized official Same address or phone

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609093061",
    "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": "1225 PONCE DE LEON AVE",
            "address_2": "EFICIO VIG TOWER SUITE 702",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071772",
            "telephone_number": "787-725-4548",
            "fax_number": "877-777-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZARDO",
        "first_name": "RAFAEL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2023-03-07",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR DRUG STATE LICENSE",
            "identifier": "DM-10096-6",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10607",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lunara
• Cesar Luque Fontanez, M.D.
• Luxottica of America Inc (Oakley B154)
• Luxottica of America Inc. (LensCrafters #474)
• Luxottica of America Inc. (Lenscrafters at Macy's #8997)
• Lydia E. Laureano Mena (Farmacia Menaa)
• Lydia E. Matos Colon (Farmacia Lujan)
• Lauren Lynch, MD
• M & P Radiologos, LLC
• Victoria Marie M Figueroa-Lozada

• 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.