Fernando Lucca Pelaez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11719 Issued in PR

Practice address

Ave. Winston Churchill PMB 619138
San Juan, PR 00926-7661

Phone

(787) 763-0216

Fax

(787) 765-7864

NPI assigned

Mar 8, 2006

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

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

Specialty

Family Practice

Education

University Central del Caribe Escuela de Medicina, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922076967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. WINSTON CHURCHILL PMB 619138",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267661",
            "telephone_number": "787-763-0216",
            "fax_number": "787-765-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. WINSTON CHURCHILL PMB 619138",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267661",
            "telephone_number": "787-763-0216",
            "fax_number": "787-765-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCCA PELAEZ",
        "first_name": "FERNANDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2026-07-13",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hector L Lozano, MD
• Loriel Lozano
• LP Medical
• LRC Esthetic Dental Care
• LS Physiatry and Sports Medicine Services
• Aileen Dolores Lucca, M.D.
• Betsy M Lucena, NURSE PRACTITIONER
• Lucet at Home of Puerto Rico PSC
• Lucha Contra El Sida Inc
• Carlos Alberto Luciano-Roman, M.D.

• 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 Jul 13, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.