Provider Demographics
NPI:1134195761
Name:SOCARRAS, LUIS G (MD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:G
Last Name:SOCARRAS
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 1:26 CALLE BALDORIOTY
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-3605
Mailing Address - Country:US
Mailing Address - Phone:787-745-5949
Mailing Address - Fax:
Practice Address - Street 1:26 CALLE BALDORIOTY
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3605
Practice Address - Country:US
Practice Address - Phone:787-745-5949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14931208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR100182OtherBLUE CROSS
PR21875OtherTRIPLE-S,MEDICARE
PR500161SEOtherMMM
PR80000921OtherADVANCED GOLDEN CROSS
PRP688OtherFIRST MEDICAL
PR7250301OtherHUMANA
PRPG-4665OtherPAN AMERICAN LIFE
PR100182OtherBLUE CROSS
PR14931OtherGLOBAL HEALTH PLAN
PR21875OtherTRIPLE-S,MEDICARE
PRPG-4665OtherPAN AMERICAN LIFE
PR500161SEOtherMMM
PRH98372Medicare UPIN