Healthcare Provider Details

I. General information

NPI: 1124946199
Provider Name (Legal Business Name): LUMEN VERA, MD PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 726 KM 0 HM 4 BO. CAONILLAS ENTRADA HOSPITAL MENONITA
AIBONITO PR
00705
US

IV. Provider business mailing address

PO BOX 1327
AIBONITO PR
00705-1327
US

V. Phone/Fax

Practice location:
  • Phone: 787-735-0023
  • Fax:
Mailing address:
  • Phone: 787-735-0023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LUMEN VERA COLON
Title or Position: PRESIDENT
Credential: MD
Phone: 787-647-8123