Provider Demographics
NPI:1144413238
Name:LUIS E CHINEA MD PSC
Entity Type:Organization
Organization Name:LUIS E CHINEA MD PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICO
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-727-3060
Mailing Address - Street 1:PONCE DE LEON AVE 1801 SUITE 210
Mailing Address - Street 2:
Mailing Address - City:SANTURCE
Mailing Address - State:PR
Mailing Address - Zip Code:00909
Mailing Address - Country:US
Mailing Address - Phone:787-727-3060
Mailing Address - Fax:787-268-5921
Practice Address - Street 1:PONCE DE LEON AVE 1801 SANTURCE MED
Practice Address - Street 2:SUITE 210
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-1917
Practice Address - Country:US
Practice Address - Phone:787-727-3060
Practice Address - Fax:787-268-5921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11215208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF60981Medicare UPIN