MEDICARE: DR. JORGE E LLUVERAS 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	207R00000X	Internal Medicine Physician	10024	PR

General Provider Information

NPI Number	:	1639194640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JORGE E LLUVERAS M. D.

Provider Business Mailing Address
First Line	:	PO BOX 801539
Second Line	:
City	:	COTO LAUREL
State	:	PR
Zip	:	00780-1539
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	CARR 506
Second Line	:	SUITE 210 TORRE SAN CRISTOBAL
City	:	PONCE
State	:	PR
Zip	:	00780
Country	:	US
Telephone Number	:	787-840-8580
Fax Number	:

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

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	12/17/2013

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