DR. OSVALDO G. DE LA LUZ SR. (NPI# 1972579084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972579084 |
| Entity Type | Individual |
| Full Name | DR. OSVALDO G. DE LA LUZ SR. |
| Credential | M.D. |
| Practice Address |
89 Ave De Diego Ste. 105 San Juan PR 00927-6372 |
| Practice Telephone | 7877649139 |
| Practice Fax Number | 7877646479 |
| Mailing Telephone | 7877649139 |
| Mailing Fax Number | 7877646479 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
9571 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
89 AVE DE DIEGO STE. 105 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00927-6372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275962094 | Lifestyle Chiropractic Center, LLC | Clinic/Center | 89 Ave De Diego, San Juan, PR 00927-6372 | 2013-11-02 |
| 1720414659 | Patricia Jimenez Baralt | Chiropractor | 89 Ave De Diego, San Juan, PR 00927-6372 | 2013-09-24 |
| 1295974921 | Luis J Laboy | Registered Nurse | 89 Ave De Diego, Suite 105, San Juan, PR 00927-6372 | 2009-02-19 |
| 1841340429 | Carmen Mercedes Villanueva | Radiology | 89 Ave De Diego, Pmb 472 Suite 105, San Juan, PR 00927-6372 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089205 | Kassandra Marie Bordado May | Counselor | #1542, Calle Bori Urb. Belisa, San Juan, PR 00927 | 2020-10-07 |
| 1427675347 | Lourdes A. Gonzalez Vazquez | Psychologist | Ave. Munoz Rivera 1007, Edificio Darlington Oficina 902, San Juan, PR 00927 | 2020-06-26 |
| 1619592078 | Dra. Perfetto Salud Integral Psi | Emergency Medicine | 254 Ave Jesus T Pinero, Suite 2, San Juan, PR 00927 | 2020-06-11 |
| 1538784210 | Geishamarie Feliciano -de Jesus | Student in an Organized Health Care Education/Training Program | 207 Cll Cornell, Apt 402 Cond University Gardens, San Juan, PR 00927 | 2020-06-09 |
| 1669095543 | Stephanie Marie Segura-abreu | Student in an Organized Health Care Education/Training Program | Calle Sergio Cuevas Bustamante #550, Hato Rey, San Juan, PR 00927 | 2020-05-26 |
| 1376166702 | Anyelina Jimenez Frias | Student in an Organized Health Care Education/Training Program | Calle Sergio Cueva Bustamante, 550, San Juan, PR 00927 | 2020-05-20 |
| 1124650973 | Giancarlo Martinez Tellado | Student in an Organized Health Care Education/Training Program | Cooperativa Jardines De San Ignacio, Calle San Guillermo Apartamento 1909a, San Juan, PR 00927 | 2020-02-10 |
| 1033754940 | Carlos Eduardo Garcia-ocasio | Student in an Organized Health Care Education/Training Program | Urb. Villas De San Francisco Street 2 A-1, San Juan, PR 00927 | 2019-11-14 |
| 1548818909 | Jennifer Sotomayor Pabon | Chiropractor | 254 Avenida Jesus T Pinero, Local #3, San Juan, PR 00927 | 2019-08-29 |
| 1407404999 | Christian Ivan Ortiz Torres | Chiropractor | 254 Ave Jesus T. Pinero, Local #3, San Juan, PR 00927 | 2019-08-28 |
| Find all providers in zip 00927 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982745113 | Serafin Orengo Vega | Psychiatry & Neurology | 1007 Ave. Luis Munoz Rivera, Edif. Darlington Suite 1101, San Juan, PR 00926 | 2007-02-09 |
| 1831271279 | Isabel M Rodriguez | Psychiatry & Neurology | Ave De Diegi #201, Plaza San Francisco Suite 107, San Juan, PR 00927-5825 | 2006-10-19 |
| 1265513287 | Lourdes Barreras | Psychiatry & Neurology | 820 Calle 13 Sw, Caparra Terrace, San Juan, PR 00921-2015 | 2006-10-17 |
| 1275622284 | Antonio Guillermo Sotomayor | Psychiatry & Neurology | Calle Maga H. Psiquiatrico Rio Pidras, Bo Monacillos, San Juan, PR 00922 | 2006-10-11 |
| 1821183476 | Angela B Del Muro | Psychiatry & Neurology | 533b Ave Escorial, San Juan, PR 00920-4707 | 2006-10-03 |
| 1891805420 | Annette L Pagan | Psychiatry & Neurology | Upr Medical Science Campus, Dept of Psychiatry, San Juan, PR 00926 | 2006-08-30 |
| 1811904642 | Angela Maldonado-marty | Psychiatry & Neurology | 9415 Ave Los Romeros, Pbm 503, San Juan, PR 00926-7001 | 2006-08-02 |
| 1770535684 | Janira Nazario | Psychiatry & Neurology | 203 Calle Sorbona, University Gardens, San Juan, PR 00927-4840 | 2006-05-17 |
| 1740694595 | Stephanie Milmar Aguilar | Psychiatry & Neurology | Upr School of Medicine Psychiatry Department, Bo. Monacillos, Puerto Rico Medical Center, San Juan, PR 00935-0001 | 2014-06-19 |
| 1710320874 | Mindful Rheumatix LLC | Psychiatry & Neurology | 576 Calle Cesar Gonzalez, Suite 101a, San Juan, PR 00918-3756 | 2013-04-09 |
| Find all providers in SAN JUAN | ||||
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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.