Provider Demographics
NPI:1912108465
Name:TOUS, LUIS JAVIER (MD)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:JAVIER
Last Name:TOUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2528
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-2528
Mailing Address - Country:US
Mailing Address - Phone:787-957-6262
Mailing Address - Fax:888-373-4866
Practice Address - Street 1:400 AVE FD ROOSEVELT
Practice Address - Street 2:STE 202
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2129
Practice Address - Country:US
Practice Address - Phone:787-724-9595
Practice Address - Fax:787-724-9494
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17606208C00000X
PR26222-R208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Single Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty