JORGE J LASTRA (NPI# 1952467490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952467490 |
| Entity Type | Individual |
| Full Name | JORGE J LASTRA |
| Credential | M.D. |
| Practice Address |
Manati Medical Center Suite 201 Manati PR 00674 |
| Practice Telephone | 7876213737 |
| Practice Fax Number | 7876213251 |
| Mailing Telephone | 7876213737 |
| Mailing Fax Number | 7876213251 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2009-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 13229 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
MANATI MEDICAL CENTER SUITE 201 |
| City | MANATI |
| State | PR |
| Zip Code | 00674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518935964 | Gian Carlo Gierbolini | Psychiatry & Neurology | Manati Medical Center, Suite 201, Manati, PR 00674 | 2006-03-10 |
| 1316591548 | Joseph Anthony Mendez Gomez II | General Practice | Manati Medical Center, Calle Hernandez Carrion Urb. Atenas, Manati, PR 00674 | 2019-07-25 |
| 1760946248 | Charlie Griffin | General Practice | Manati Medical Center, Calle Hernandez Carrion, Manati, PR 00674 | 2019-01-29 |
| 1548784010 | Arachristie Otero Diaz | Student in an Organized Health Care Education/Training Program | Manati Medical Center, Calle Hernandez Carrion Urbanizacion Atenas, Manati, PR 00674 | 2017-07-27 |
| 1922320217 | Aracelis Nieves | Family Medicine | Manati Medical Center, Urb. Atenas Calle Hernandez Carrion, Manati, PR 00674-0000 | 2010-02-27 |
| 1922204460 | Migdalia Garcia | General Practice | Manati Medical Center, Urb. Atenas, Manati, PR 00674 | 2007-06-22 |
| 1700925302 | Complete Neuro Gnm, Psc | Psychiatry & Neurology | Manati Medical Center, Suite 201, Manati, PR 00674 | 2007-02-06 |
| 1689735524 | Edgardo Tarafa Feliciano | Personal Emergency Response Attendant | Manati Medical Center, Suite 103, Manati, PR 00674 | 2006-12-13 |
| 1295837516 | Vielka M Cintron Rivera | Family Medicine | Manati Medical Center, Suite 207, Manati, PR 00674 | 2006-09-05 |
| 1639101926 | Ramon Ortiz Carrasquillo | Specialist | Manati Medical Center, Urb. Atenas Calle, Hernandez Carrion, Manati, PR 00674 | 2006-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668845 | Marlyne Lopez Pantoja | Psychologist | Urb. Monserrate C/ Golondrina G-2 #504, Manati, PR 00674 | 2020-10-27 |
| 1538768338 | Yaidelise Ayala-villalobos | Speech-Language Pathologist | Bo Cotto Norte Urb Villa Maria B-4, Manati, PR 00674 | 2020-10-22 |
| 1043826142 | Karina Mariel Garcia Collazo | General Practice | Est. Valle Verde #41, Calle Quebrada, Manati, PR 00674 | 2020-09-23 |
| 1184239287 | Xayisnalie Martinez Rodriguez | Student in an Organized Health Care Education/Training Program | Bo San Jose 13 Calle Jaraquemada, Manati, PR 00674 | 2020-09-15 |
| 1114532207 | Professional Nutrition By Lcda. Daina Vega Miranda LLC | Nutritionist | Urb Atenas B-36 Calle Elliot Velez, Manati, PR 00674 | 2020-09-15 |
| 1538774427 | Yomayra Cruz I | Social Worker | The Renal Center of Manati, Carr. 2 Km. 47.7, Manati, PR 00674 | 2020-09-09 |
| 1487268942 | Keila Raquel Alvarado | Social Worker | 208 Calle Gorrion Urb. Hacienda La Monserrate, Manati, PR 00674 | 2020-09-02 |
| 1598374415 | Beyond Care Doctor Group Csp | General Practice | Bo Cotto Norte Carr 670 Km 3.2, Manati, PR 00674 | 2020-07-27 |
| 1295343267 | David Agustin Lopez Rodriguez | General Practice | Calle Hernandez Carrion Urb Atenas Manati, Manati, PR 00674 | 2020-07-16 |
| 1326664160 | Lislie Lisete Gonzalez Veitia | Family Medicine | Manati Medical Center, Calle Hernandez Carrion, Manati, PR 00674 | 2020-06-17 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477956225 | Puerto Rico Neurosurgery & Spine L.L.C. | Neurological Surgery | 668 Calle Hernandez Carrion Urb Atenas Manati, Medical Center Suite 201, Manati, PR 00674 | 2014-10-07 |
| 1336342419 | David Lozada | Neurological Surgery | Carr 2 Interseccion 668 Urb Atenas, Manati Medical Center Suite 201, Manati, PR 00674-0001 | 2007-06-07 |
| 1033147889 | Marcos Mercado De Gorgolas | Neurological Surgery | Manati Medical Center Dr Otero Lopez, Suite 201, Manati, PR 00674 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316444235 | Cranial Base Neurosurgery Pr | Neurological Surgery | Ba 9 Plaza 2, Urb.bosque Del Lago, Trujillo Alto, PR 00976 | 2018-04-08 |
| 1972051365 | Mmt Neurosurgery Psc | Neurological Surgery | Hima Hospital, Torre Hima Suite 706, Caguas, PR 00725 | 2016-09-14 |
| 1790104610 | Christian Ivan Rios-vicil | Neurological Surgery | 2116 Monacillo St., University District Hospital Puerto Rico Medical Center, San Juan, PR 00922-2116 | 2014-04-08 |
| 1982032561 | Cosme Miguel Gonzalez Villaman | Neurological Surgery | Calle 53 Se 870, Reparto Metropolitano, Rio Piedras, San Juan, PR 00921 | 2013-10-17 |
| 1295174217 | Joel Enrique Pellot | Neurological Surgery | University District Hospital Bo Monacillos, San Juan, PR 00935-0001 | 2013-06-24 |
| 1073863833 | Jorge Mendoza Torres | Neurological Surgery | 870 Calle 53 Se, Reparto Metropolitano, San Juan, PR 00921 | 2012-09-19 |
| 1952615551 | Samuel Estronza-ojeda | Neurological Surgery | 252 Calle San Jorge Ste 205, Santurce, PR 00912 | 2010-08-06 |
| 1144533746 | Puerto Rico Neurological Spine Surgery | Neurological Surgery | 1845 Carr 2 Ste 702, Bayamon Medical Building, Bayamon, PR 00959-7206 | 2010-07-23 |
| 1417284290 | Amaury Jerman Garcia | Neurological Surgery | 365 Calle 28, Urb. Villa Nevarez, San Juan, PR 00927-5107 | 2009-11-16 |
| 1992988950 | Ramon Antonio De Leon-berras | Neurological Surgery | 382 Ave. San Claudio, Pmb 73, San Juan, PR 00926-9910 | 2007-12-13 |
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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.