Luis T Tavarez Gonzalez, MD
Family Medicine, Geriatric Medicine in Guaynabo, Puerto Rico
1780974063- Practice location
- 107 Ave Ortegon Ste 100, Guaynabo, PR 00966-2516
- Phone
- 787-425-0525
- Fax
- 787-425-0526
- Last updated
- August 31, 2021
Luis T Tavarez Gonzalez is a Family Medicine, Geriatric Medicine based in Guaynabo, PR. Luis T Tavarez Gonzalez practices in Guaynabo, PR and has the professional credentials of MD. The NPI Number for Luis T Tavarez Gonzalez is 1780974063 and holds a License No. 18155 (PR). The current practice location address for Luis T Tavarez Gonzalez is 107 Ave Ortegon Ste 100, Guaynabo, PR 00966-2516 and can be reached out via phone at 787-425-0525 and via fax at 787-425-0526.
Provider Profile Details
- NPI Number
- 1780974063
- Provider Name
- Luis T Tavarez Gonzalez
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 107 Ave Ortegon Ste 100, Guaynabo, PR 00966-2516
- Phone Number
- 787-425-0525
- Fax Number
- 787-425-0526
- Primary Taxonomy
- Family Medicine, Geriatric Medicine · 207QG0300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 7, 2011
- Last Update Date
- August 31, 2021
- Certification Date
- August 31, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 107 Ave Ortegon Ste 100
Guaynabo, PR 00966-2516 - City
- Guaynabo
- State
- Puerto Rico
- Zip
- 00966-2516
- Phone Number
- 787-425-0525
- Fax Number
- 787-425-0526
Provider Business Mailing Address Details
- Address
- Po Box 366255
San Juan, PR 00936-6255 - City
- San Juan
- State
- PR
- Zip
- 00936-6255
- Phone Number
- 787-425-0525
License Information
- License Number (1)
- 18155
- License State (1)
- PR
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 18155
- License State (2)
- PR
- Taxonomy (2)
- General Practice · 208D00000X
- License Number (3)
- 18155
- License State (3)
- PR
- Taxonomy (3)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (4)
- 18155
- License State (4)
- PR
- Taxonomy (4)
- Family Medicine, Geriatric Medicine · 207QG0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Luis T Tavarez Gonzalez, MD?
The NPI number of Luis T Tavarez Gonzalez, MD is 1780974063. It was assigned on April 7, 2011 and is currently active in the NPPES registry.
What is the specialty of Luis T Tavarez Gonzalez, MD?
Luis T Tavarez Gonzalez, MD is registered under the primary taxonomy Family Medicine, Geriatric Medicine (code 207QG0300X), licensed in PR under license number 18155.
Where does Luis T Tavarez Gonzalez, MD practice?
The practice location is 107 Ave Ortegon Ste 100, Guaynabo, PR 00966-2516. The office can be reached at 787-425-0525 (phone) or 787-425-0526 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780974063 directly on the NPPES registry website.