DR. RAFAEL LASTRA (NPI# 1477550150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477550150 |
| Entity Type | Individual |
| Full Name | DR. RAFAEL LASTRA |
| Credential | M.D. |
| Practice Address |
Torre Auxilio Mutuo Ponce De Leon Ave 735 Suite 516 San Juan PR 00917 |
| Mailing Address |
138 Ave Winston Churchill Pmb 149 San Juan PR 00926-6023 |
| Practice Telephone | 7877646403 |
| Practice Fax Number | 7877568926 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2008-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
9566 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
TORRE AUXILIO MUTUO PONCE DE LEON AVE 735 SUITE 516 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730189887 | Jose Torrado | Internal Medicine | Torre Auxilio Mutuo Ponce De Leon Ave 735, Suite 516, San Juan, PR 00917 | 2005-07-29 |
| 1003814047 | Gilberto Rivera | Internal Medicine | Torre Auxilio Mutuo Ponce De Leon Ave 735, Suite 516, San Juan, PR 00917 | 2005-07-13 |
| 1588662167 | Pedro R Redondo | Internal Medicine | Torre Auxilio Mutuo Ponce De Leon Ave 735, Suite 516, San Juan, PR 00917 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805744 | Enox E Alvarez-garcia | Acupuncturist | 229 Calle Juan P. Duarte Oficina 2a, Altos Cooperativa Hermanos Unidos, San Juan, PR 00917 | 2020-09-09 |
| 1427662881 | Nelly Alfonsina Cetraro | Student in an Organized Health Care Education/Training Program | Goberndor Pinero, Centro Medico De Puerto Rico, Bo. Monacillos., San Juan, PR 00917 | 2020-09-03 |
| 1912520834 | Yolanda Alvarez Pando | Student in an Organized Health Care Education/Training Program | 715 Ave Juan Ponce De Leon Pda 37.5, Hato Rey, PR 00917 | 2020-05-27 |
| 1295358240 | Orestes Quinones | Student in an Organized Health Care Education/Training Program | 715 Ave. Juan Ponce De Leon Pda 37.5, Hato Rey, PR 00917 | 2020-05-26 |
| 1992330831 | Ernie Diaz Rivera | Student in an Organized Health Care Education/Training Program | Condominio Floral Plaza, Apt 1203, Calle Los Pinos 429, San Juan, PR 00917 | 2020-03-11 |
| 1235763368 | Gisela Robles | Pharmacist | Mcs Healthcare Holdings, LLC, 255 Avenida De La Construccion, San Juan, PR 00917 | 2020-02-27 |
| 1144854530 | Marangelly Delgado-lopez | Student in an Organized Health Care Education/Training Program | Ave. Americo Miranda Bo. Monacillos, Predios Centro Medico, San Juan, PR 00917 | 2020-02-25 |
| 1467090472 | Rafael Rivera | Psychologist | Ponce De Leon Ave. #435, Hato Rey, San Juan, PR 00917 | 2019-12-20 |
| 1801432372 | Ruth E Arias Sr. | Nutritionist | Bda Buena Vista Calle D, 261, San Juan, PR 00917 | 2019-11-20 |
| 1437702032 | Lydia L Figueroa | Pediatrics | Ave Americo Miranda Bo Monacillos Hmsj, Educacion Medica Graduada 2do Piso, San Juan, PR 00917 | 2019-07-23 |
| Find all providers in zip 00917 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752306 | Plaza Podiatry Center | Internal Medicine | 525 Ave Roosevelt Torre Plaza Las Americas Suite 612, San Juan, PR 00918 | 2020-02-17 |
| 1437633922 | Medical Ultrasound and Research Group, Corp | Internal Medicine | Urb Villa Prades, 708 Calle Julio Andino, San Juan, PR 00929 | 2018-09-20 |
| 1598164204 | Plaza Cardiovascular Clinic | Internal Medicine | 525 Fd Roosevelt Ave, La Torre De Plaza Suite 804, San Juan, PR 00918 | 2014-08-19 |
| 1447675137 | Pci Group | Internal Medicine | Calle De Diego Apt 21, 474 De Diego Chalets, San Juan, PR 00923 | 2014-03-04 |
| 1518395375 | Centro De Prevencion De Enfermedades Cardiovasculares | Internal Medicine | 600 Blvd De La Montana Apt 462, Arboles De Montehiedra, San Juan, PR 00926-7121 | 2013-10-14 |
| 1497090278 | Jesus E Pijem Garcia | Internal Medicine | 554 Calle Cabo Alverio, Urb La Merced, San Juan, PR 00918-3724 | 2012-12-04 |
| 1699021816 | Modern Cardiology Associates | Internal Medicine | 208 Ave Ponce De Leon # 431, National Plaza Building Suite 326, San Juan, PR 00918-1000 | 2012-07-25 |
| 1205139722 | Centro Medicina Preventiva Dr. Baruch Caballero Valiente | Internal Medicine | Edificio Chevere Avenida Jose De Diego, Oficina 204 Pda 22 Num 328, San Juan, PR 00901 | 2010-12-07 |
| 1508195660 | Andres Mendez | Internal Medicine | 2nd St. #19 Villa Los Olmos, San Juan, PR 00927-4630 | 2009-12-18 |
| 1285867929 | Jose Guillermo Torres-acevedo | Internal Medicine | 1492 Ave Ponce De Leon Ste 717, San Juan, PR 00907 | 2009-08-28 |
| 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.