1881661460 NPI number — DR. LUIS F GUZMAN HAU DC

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881661460 NPI number — DR. LUIS F GUZMAN HAU DC

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

GUZMAN HAU

Provider First Name:

LUIS

Provider Middle Name:

F

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

DC

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1881661460

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

11/22/2021

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

PO BOX 1957

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

ISABELA

Provider Business Mailing Address State Name:

PR

Provider Business Mailing Address Postal Code:

00662-1957

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

57 CALLE OTERO

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

ISABELA

Provider Business Practice Location Address State Name:

PR

Provider Business Practice Location Address Postal Code:

00662-3010

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

787-872-6699

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

03/02/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 111N00000X , with the licence number:  400 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 50379 . This is a "PREFFERED MEDICARE CHOICE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 602185 . This is a "MMM" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 6606531462 . This is a "MCS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 6590083 . This is a "HUMANA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 660653146 . This is a "MAPFRE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 100895 . This is a "LA CRUZ AZUL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 57213 . This is a "TRIPLE S" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 57402 . This is a "TRIPLE S ( CORP)" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: A183 . This is a "FIRST MEDICAL (IMC)" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 660653146 . This is a "CIGNA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 233093 . This is a "PREFFERED HEALTH" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
• Identifier: 660653146 . This is a "COSVI" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".