Provider Demographics
NPI:1184667792
Name:AL-ATTAR, LUMA (MD)
Entity Type:Individual
Prefix:DR
First Name:LUMA
Middle Name:
Last Name:AL-ATTAR
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 1:425 CARR 693
Mailing Address - Street 2:PMB 152
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-4816
Mailing Address - Country:US
Mailing Address - Phone:787-854-1900
Mailing Address - Fax:787-854-1918
Practice Address - Street 1:CARRETERA NUMBER 2
Practice Address - Street 2:TORRE MEDICA II, SUITE 260 DOCTORS' CENTER HOSPITAL
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-0002
Practice Address - Country:US
Practice Address - Phone:787-854-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87876207W00000X
PR16858207W00000X
MDD0071450207W00000X
VA0101243120207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2679639-00Medicaid
PR0027791OtherMEDICARE ID
FL71531Medicare ID - Type Unspecified
PR0027791OtherMEDICARE ID