Healthcare Provider Details

I. General information

NPI: 1780970772
Provider Name (Legal Business Name): JOSE ANTONIO LUCAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JOSE ANTONIO LUCAR LLOVERAS

II. Dates (important events)

Enumeration Date: 06/28/2011
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 PENNSYLVANIA AVE NW
WASHINGTON DC
20037-3201
US

IV. Provider business mailing address

2150 PENNSYLVANIA AVE NW
WASHINGTON DC
20037-3201
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-2323
  • Fax: 202-741-2324
Mailing address:
  • Phone: 202-741-2323
  • Fax: 202-741-2324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD042363
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: