| Dr Rafael Luzardo Mejias Servicios Medicos De Puerto Rico | |
|
405 Calle San Francisco Piso 2 Oficina 2 C San Juan PR 00901-1772 | |
| (787) 725-4548 | |
| (787) 721-0279 |
| Full Name | Dr Rafael Luzardo Mejias Servicios Medicos De Puerto Rico |
|---|---|
| Speciality | General Practice |
| Location | 405 Calle San Francisco, San Juan, Puerto Rico |
| Authorized Official Name and Position | Olga L Perez (COORDINADORA) |
| Authorized Official Contact | 7877254548 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rafael Luzardo Mejias Servicios Medicos De Puerto Rico Po Box 9023558 San Juan PR 00902-3558 Ph: (787) 725-4548 | Dr Rafael Luzardo Mejias Servicios Medicos De Puerto Rico 405 Calle San Francisco Piso 2 Oficina 2 C San Juan PR 00901-1772 Ph: (787) 725-4548 |
| NPI Number | 1306147665 |
|---|---|
| Provider Enumeration Date | 11/03/2010 |
| Last Update Date | 08/11/2014 |
| Medicare PECOS PAC ID | 5799009742 |
|---|---|
| Medicare Enrollment ID | O20150121001991 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306147665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 10607 (Puerto Rico) | Primary |
| Provider Name | Rafael Raul Luzardo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609093061 PECOS PAC ID: 6608190657 Enrollment ID: I20150121002042 |
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