Provider Demographics
NPI:1497733349
Name:CLAS, LUIS V (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:V
Last Name:CLAS
Suffix:
Gender:M
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:PO BOX 363627
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-3627
Mailing Address - Country:US
Mailing Address - Phone:787-748-1999
Mailing Address - Fax:787-748-1999
Practice Address - Street 1:H17 CALLE LA PRINCESA
Practice Address - Street 2:URB PASEO SAN JUAN
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-6521
Practice Address - Country:US
Practice Address - Phone:787-748-1999
Practice Address - Fax:787-748-1999
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-01
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9829207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR8-1894Medicare ID - Type Unspecified
PRE-78433Medicare UPIN