Provider Demographics
NPI:1457349789
Name:CUMMINGS, LUIS E JR (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:E
Last Name:CUMMINGS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:909 AVE TITO CASTRO
Mailing Address - Street 2:SUITE 501
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-4728
Mailing Address - Country:US
Mailing Address - Phone:787-840-7130
Mailing Address - Fax:787-841-6364
Practice Address - Street 1:909 AVE TITO CASTRO
Practice Address - Street 2:SUITE 501
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-4728
Practice Address - Country:US
Practice Address - Phone:787-840-7130
Practice Address - Fax:787-841-6364
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR6648207L00000X, 207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1457349789OtherNPI
7330100OtherHUMANA
7330100OtherHUMANA
E71636Medicare UPIN