MEDICARE: DR. LUIS G SOCARRAS M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	14931	PR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	21875	OTHER	PR	TRIPLE-S,MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	100182	OTHER	PR	BLUE CROSS
3	500161SE	OTHER	PR	MMM
4	80000921	OTHER	PR	ADVANCED GOLDEN CROSS
5	P688	OTHER	PR	FIRST MEDICAL
6	7250301	OTHER	PR	HUMANA
7	PG-4665	OTHER	PR	PAN AMERICAN LIFE

General Provider Information

NPI Number	:	1134195761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIS G SOCARRAS M.D

Provider Business Mailing Address
First Line	:	26 CALLE BALDORIOTY
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00725-3605
Country	:	US
Telephone Number	:	787-745-5949
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 CALLE BALDORIOTY
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00725-3605
Country	:	US
Telephone Number	:	787-745-5949
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	07/27/2022

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Directions to “ DR. LUIS G SOCARRAS M.D” Practice Location

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