Individual
DR. RAFAEL R. LUZARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 PONCE DE LEON AVE, EFICIO VIG TOWER SUITE 702, SAN JUAN, PR 00907-1772
(787) 725-4548
(877) 777-3208
Mailing address
PO BOX 9023558, SAN JUAN, PR 00902-3558
(787) 725-4548
(787) 721-0279
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10607
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10607
STATE LICENSE
PR
01
—
DM-10096-6
PR DRUG STATE LICENSE
PR
Enumeration date
04/19/2007
Last updated
03/07/2023
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