Healthcare Provider Details

I. General information

NPI: 1710391032
Provider Name (Legal Business Name): LUZMARIE DEL CARMEN SAAVEDRA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2014
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CDT CESAR ROSA FEBLES EDIFICIO ANEJO PISO 2 SR#2 KM50
MANATI PR
00674
US

IV. Provider business mailing address

PO BOX 1261
QUEBRADILLAS PR
00678-1261
US

V. Phone/Fax

Practice location:
  • Phone: 787-641-0774
  • Fax:
Mailing address:
  • Phone: 787-641-0774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number19941
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number19941
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: