DR. RAFAEL R. LUZARDO M.D.
NPI 1609093061
General Practice in San Juan, PR

Active since April 19, 2007PECOS Enrolled
1225 PONCE DE LEON AVE, EFICIO VIG TOWER SUITE 702, SAN JUAN, PR 00907(787) 725-4548(877) 777-3208 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Mar 26, 2021, Feb 6, 2020 (3 updates tracked since 2020).

About Dr. Rafael R. Luzardo M.d. NPPES

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

DR. RAFAEL R. LUZARDO M.D. (NPI 1609093061) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (10607) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609093061
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. RAFAEL R. LUZARDOCredential: M.D.
Location Address1225 PONCE DE LEON AVE, EFICIO VIG TOWER SUITE 702San Juan, PR 00907-1772
Mailing AddressPo Box 9023558San Juan, PR 00902-3558 · (787) 725-4548 · Fax (787) 721-0279
Fax(877) 777-3208
Sole ProprietorYes
Enumeration DateApril 19, 2007
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedMarch 5, 2021
NPI 1609093061 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 · 10607
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 2

Other10607PR · State License
OtherDM-10096-6PR · Pr Drug State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Rafael R. Luzardo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Management
1225 PONCE DE LEON AVE, SUITE 702 VIG TOWER
SAN JUAN, PR 00907
General Practice
1225 PONCE DE LEON AVE, VIG TOWER SUITE 702
SAN JUAN, PR 00907
Hospitalist
1225 PONCE DE LEON AVE, PH-948
SAN JAUN, PR 00907

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 Rafael Luzardo's NPI number?

The NPI number for Rafael Luzardo is 1609093061. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Rafael Luzardo located?

Rafael Luzardo practices at 1225 Ponce De Leon Ave Eficio Vig Tower Suite 702, San Juan, PR 00907. The listed phone number is (787) 725-4548.

What is Rafael Luzardo's specialty?

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

Is Rafael Luzardo enrolled in Medicare?

Yes. Rafael Luzardo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rafael Luzardo was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.