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Luis Tavarez Gonzalez, M.D. — NPI 1780974063, Guaynabo, PR | NPI Central

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NPI 1780974063

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Luis Tavarez Gonzalez, M.D.

NPI 1780974063 · Geriatric Medicine (Family Medicine) Physician · Guaynabo, PR

Provider details

NPI number: 1780974063
Entity type: Individual
Primary specialty: Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: Yes
License: 18155 (PR)

Specialties & taxonomies

Geriatric Medicine (Family Medicine) PhysicianPrimary207QG0300XLicense 18155 (PR)
Allopathic & Osteopathic Physicians
Family Medicine Physician207Q00000XLicense 18155 (PR)
Allopathic & Osteopathic Physicians
General Practice Physician208D00000XLicense 18155 (PR)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000XLicense 18155 (PR)
Student, Health Care

Practice location

107 Ave Ortegon Ste 100

Guaynabo, PR 00966-2516

Phone: (787) 425-0525

Fax: (787) 425-0526

More PR providers

Mailing address

Po Box 366255

San Juan, PR 00936-6255

Additional practice locations (2)

333 Calle Isla Verde
Villas De La Playa
Vega Baja, PR 00693-6049
Phone: (787) 375-9026
Carretera 3 Km 8.3
Ave 65 De Infanteria
Carolina, PR 00984
Phone: (787) 757-1800
Fax: (787) 276-2205

Registry dates

Enumerated: 2011-04-07
Last updated: 2021-08-31
Certified: 2021-08-31

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.