L & G Medical Group Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10607 Issued in PR

Legal business name

L & G MEDICAL GROUP INC

Practice address

405 Calle San Francisco
Pisos de Don Juan Ofice 2-C
San Juan, PR 00901

Phone

(787) 721-0279

Fax

(877) 777-3208

NPI assigned

Mar 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rafael R Luzardo, MD

Title

President

Phone

(787) 725-4548

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1780076471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16034 BOLT DR",
            "address_2": "LOS EUCALIPTOS",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293801",
            "telephone_number": "787-725-4548",
            "fax_number": "877-777-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CALLE SAN FRANCISCO",
            "address_2": "PISOS DE DON JUAN OFICE 2-C",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00901",
            "telephone_number": "787-721-0279",
            "fax_number": "877-777-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L & G MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "LUZARDO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-725-4548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "10607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 4, 2015; 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.