Provider Demographics
NPI:1093982316
Name:AMADOR, LUZ TERESA (MD)
Entity Type:Individual
Prefix:DR
First Name:LUZ
Middle Name:TERESA
Last Name:AMADOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB BOSQUE DEL LAGO VIA ONTARIO
Mailing Address - Street 2:BC-6
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-450-5511
Mailing Address - Fax:
Practice Address - Street 1:URB BOSQUE DEL LAGO VIA ONTARIO
Practice Address - Street 2:BC-6
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-450-5511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7345208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics