Luz M Carrasquillo Dominguez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11428 Issued in PR

Practice address

Ave Jose Gautier Benitez Carr #1
Villa Carmen 2ND Secc B-4
Caguas, PR 00725

Phone

(787) 644-5890

Fax

(787) 644-5890

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1720099484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9261",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-644-5890",
            "fax_number": "787-644-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE JOSE GAUTIER BENITEZ CARR #1",
            "address_2": "VILLA CARMEN 2ND SECC B-4",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-644-5890",
            "fax_number": "787-644-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASQUILLO DOMINGUEZ",
        "first_name": "LUZ",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ambulance Inc
• Hector Carradero, PH.D.
• Vanessa E Carranza, MD
• Laura Carrasquillo Colon
• Luz M Carrasquillo Davila, RPH
• Carmen Doris Carrasquillo, O.T.L
• Maria V Carrasquillo
• Maribel Carrasquillo, PHARMACIST
• Nicole M Carrasquillo, DC
• Sara L. Carrasquillo, TO

• General Practice Physician in Caguas, PR
• Providers in Caguas, 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 Jan 12, 2021; 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.