DR. LUIS ANTONIO CLAVELL (NPI# 1487639845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487639845 |
| Entity Type | Individual |
| Full Name | DR. LUIS ANTONIO CLAVELL |
| Credential | M.D. |
| Practice Address |
252 Calle San Jorge Suite #504 San Jorge Medical Building San Juan PR 00912-3310 |
| Practice Telephone | 7877281575 |
| Practice Fax Number | 7877260402 |
| Mailing Telephone | 7877281575 |
| Mailing Fax Number | 7877260402 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2012-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
5762 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
252 CALLE SAN JORGE SUITE #504 SAN JORGE MEDICAL BUILDING |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00912-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588666770 | Ivan Figueroa-otero | Surgery | 252 Calle San Jorge, Ste 407, San Juan, PR 00912-3310 | 2005-06-01 |
| 1518405604 | Romilio Iglesias Rubio | Family Medicine | 252 Calle San Jorge, San Juan, PR 00912 | 2017-02-08 |
| 1760402747 | Heidy M Rodriguez Hernandez | Radiology | 252 Calle San Jorge, San Juan, PR 00912-3239 | 2006-07-20 |
| 1346286408 | Nanette L Gonzalez | Pediatrics | 252 Calle San Jorge, Suite 406 San Jorge Medical Office, San Juan, PR 00912-3310 | 2006-06-20 |
| 1225095961 | Denise Rivera-lugo | Pediatrics | 252 Calle San Jorge, San Jorge Medical Office Building Suite 406, San Juan, PR 00912-3310 | 2006-04-27 |
| 1336100668 | Yazmin Lizzette Garcia | Pediatrics | 252 Calle San Jorge, Suite 406, San Juan, PR 00912-3310 | 2006-03-28 |
| 1164482865 | Marisel Vazquez-correa | Pediatrics | 252 Calle San Jorge, Suite 307, San Juan, PR 00912-3310 | 2006-03-25 |
| 1861461261 | Manuel Velilla Iglesias | Obstetrics & Gynecology | 252 Calle San Jorge, San Jorge Medical Building, Suite 405, San Juan, PR 00912-3239 | 2006-03-16 |
| 1235100777 | Mario R. Nevarez Alonso | Pediatrics | 252 Calle San Jorge, San Jorge Medical Office Bldg. Suite 406, San Juan, PR 00912-3310 | 2006-02-01 |
| 1447220165 | Elsie E. Vazquez -torres | Pediatrics | 252 Calle San Jorge, San Jorge Medical Office Suit 406, San Juan, PR 00912-3310 | 2006-01-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860869 | Lismary Colon Matias | Speech-Language Pathologist | Avenida Ponce De Leon #1607, Cobian's Plaza Building, San Juan, PR 00912 | 2020-10-27 |
| 1972126258 | Neuropedeegpr LLC | Physiological Laboratory | Calle San Jorge #258 San Jorge Medical Building Suite 3, Santurce, PR 00912 | 2020-05-21 |
| 1801415047 | Racc | Surgery | #373 Calle San Jorge, Piso#2, Santurce, PR 00912 | 2020-04-08 |
| 1588299333 | Yanelis Perez Pina | Registered Nurse | 1600 Ave De La Constitucion, San Juan, PR 00912 | 2020-03-11 |
| 1558919233 | Aura Colon Rivera | Psychologist | Calle San Jorge, 258, San Juan, PR 00912 | 2019-08-27 |
| 1467923276 | Zuleika Montanez | Registered Nurse | 1600 Avenida Juan Ponce De Leon, San Juan, PR 00912 | 2018-12-06 |
| 1528584232 | Indhira M Rivas | Psychologist | 1551 Calle Victoria Santurce, San Juan, PR 00912 | 2017-08-15 |
| 1881146728 | Sebastian Cambo | Psychologist | 1801 Ave Ponce De Leon Suite 411, Santurce Medical Mall, San Juan, PR 00912 | 2016-10-26 |
| 1528430816 | Abner Martinez | Pharmacist | Calle Labra Esquina Corchado Parada 18, San Juan, PR 00912 | 2015-10-26 |
| 1609282300 | Mariola Llinas Messeguer | Obstetrics & Gynecology | 252 San Jorge Medical Building, Suite 405, Santurce, PR 00912 | 2014-07-02 |
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| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881960326 | Saisha Maryeve Muniz Alers | Pediatrics | Ave Jose Kiko Custodio, San Juan, PR 00927 | 2012-03-29 |
| 1861547192 | Jhon A Guerra | Pediatrics | Upr Recinto De Ciencias Medicas Hospital Pediatrico, Edificio A Oficina Bc 12, San Juan, PR 00936 | 2007-01-25 |
| 1780754531 | Recinto De Ciencias Medicas | Pediatrics | Ave Americo Miranda Aptdo.29134 Centro Medico De Pr, Edif. Principal Escuela De Medicina, San Juan, PR 00929-0134 | 2006-11-09 |
| 1720158587 | Recinto De Ciencias Medicas | Pediatrics | Centro Medico De Pr, Edif. Principal Escuela De Medicina Aptdo. 29134, San Juan, PR 00929-0134 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053442194 | Maria Elena Echevarria-escudero | Pediatrics | 252 San Jorge St, Suite 504, Santurce, PR 00912 | 2007-03-08 |
| 1003944380 | Carmen Luz Sanchez De Bartolomei | Pediatrics | 106 Calle Betances, Hato Rey, Hato Rey, PR 00917-3839 | 2007-03-01 |
| 1205990744 | Eleanor Jimenez | Pediatrics | 1026 Luis Vigoreaux Av, Apt 24a, Guaynabo, PR 00966-2502 | 2006-12-20 |
| 1083716872 | Carlos Suarez Abraham | Pediatrics | E22 Urb San Jose, Aibonito, PR 00705-4007 | 2006-09-02 |
| 1982681516 | Harvey Agosto Sr. | Pediatrics | Calle 65 Inf #67, Anasco, PR 00610-0163 | 2005-12-23 |
| 1366765117 | Pediatrics and Ho Bmt Group | Pediatrics | Ave Degetau, Hima San Pablo Hospital, Caguas, PR 00725-5819 | 2010-03-08 |
| 1477697597 | Centro Medico Del Turabo Inc | Pediatrics | Hima San Pablo Caguas, Ave Munoz Marin Piso 1, Caguas, PR 00725 | 2007-02-20 |
| 1669483285 | Univ Central Del Caribe | Pediatrics | Avenida Laurel, Esquina Santa Juanita #100, Bayamon, PR 00960 | 2006-08-10 |
| 1104887124 | Enid Rivera - Jimenez | Pediatrics | Clinica De La Escuela De Medicina, Reparto Metropolitano Shopping, Ave. Americo Miranda, Rio Piedras, PR 00921 | 2006-03-29 |
| 1518942945 | Myrna Figueroa | Pediatrics | 252 Calle San Jorge, Suite 504, Santurce, PR 00912-3310 | 2005-12-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.