Provider Demographics
NPI:1124314943
Name:TARRATS, LUIS A (MD,JD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:A
Last Name:TARRATS
Suffix:
Gender:M
Credentials:MD,JD
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 371207
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-1207
Mailing Address - Country:US
Mailing Address - Phone:787-738-0105
Mailing Address - Fax:787-936-7416
Practice Address - Street 1:CENTRO MEDICO MENONITA
Practice Address - Street 2:EDIFICIO MEDICO PROFESIONAL SUITE 407
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-0000
Practice Address - Country:US
Practice Address - Phone:787-738-0105
Practice Address - Fax:787-936-7416
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19540207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology