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NPI Code Detail

MEDICARE: LUCAS MANUEL FERRER CARDONA M.D.

MEDICARE: LUCAS MANUEL FERRER CARDONA 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
12086S0129XVascular Surgery PhysicianR8560TX
2208600000XSurgery Physician19990PR
3208600000XSurgery PhysicianR8560TX
42086S0129XVascular Surgery Physician19990PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1388930502OTHERTXCSHCN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790912244
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCAS MANUEL FERRER CARDONA M.D.
Provider Business Mailing Address
First Line : O3 CALLE LAS OLAS
Second Line :
City : DORADO
State : PR
Zip : 00646-2158
Country : US
Telephone Number : 267-678-7539
Fax Number : 210-450-4903
Provider Business Practice Location Address
First Line : 4502 MEDICAL DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-4402
Country : US
Telephone Number : 210-358-2074
Fax Number : 210-358-4779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2009
Last Update Date : 12/12/2025

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