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DR. PEDRO LUIS LASTRA CALDERON MD
NPI 1407079569
General Practice in Canovanas, PR

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment
3 CALLE AUTONOMIA, CANOVANAS, PR 00729(787) 876-2215 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2025, Jul 20, 2021, May 27, 2021 (3 updates tracked since 2021).

About Dr. Pedro Luis Lastra Calderon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PEDRO LUIS LASTRA CALDERON MD (NPI 1407079569) is an individual general practice provider in Canovanas, Puerto Rico, licensed in Puerto Rico (7262) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1407079569
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. PEDRO LUIS LASTRA CALDERONCredential: MD
Location Address3 CALLE AUTONOMIACanovanas, PR 00729-3246
Mailing AddressPlaza 13 Be25Trujillo Alto, PR 00976 · (787) 748-8978 · Fax (787) 748-8978
Phone(787) 876-2215
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateApril 10, 2007
Last NPPES UpdateApril 1, 20253 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1407079569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 7262
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Other Identifiers 3

Medicaid038914800PR
Other28565PR · Sss
Other500097EPR · Mmm

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pedro Luis Lastra Calderon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981760014
PECOS Enrollment IDI20090225000548
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pedro Lastra Calderon's NPI number?

The NPI number for Pedro Lastra Calderon is 1407079569. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Pedro Lastra Calderon located?

Pedro Lastra Calderon practices at 3 Calle Autonomia, Canovanas, PR 00729. The listed phone number is (787) 876-2215.

What is Pedro Lastra Calderon's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Pedro Lastra Calderon enrolled in Medicare?

Yes. Pedro Lastra Calderon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Pedro Lastra Calderon was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.