Healthcare Provider Details

I. General information

NPI: 1902871122
Provider Name (Legal Business Name): LUIS E PRATS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 07/20/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 MUNOZ RIVERA
RINCON PR
00677
US

IV. Provider business mailing address

PO BOX 1092
RINCON PR
00677-1092
US

V. Phone/Fax

Practice location:
  • Phone: 787-823-2596
  • Fax: 939-697-8154
Mailing address:
  • Phone: 787-823-2596
  • Fax: 939-697-8154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number14494
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: