Luis Antonio Bracero Baumgartner, MD
Physician Assistant in Ponce, PR. Individual provider (NPI-1).
NPI number1144147653
StatusActive
Last updated in NPPESJul 4, 2026
Details
- NPI
- 1144147653
- Entity type
- Individual (NPI-1)
- Name
- Luis Antonio Bracero Baumgartner
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 4, 2026
- Certification date
- Jul 4, 2026
- Last updated
- Jul 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2359 | PR | Yes |
Practice location
1955 Calle FortunaPonce, PR 00717-2304
Phone 787-439-8717
Mailing address
1955 Calle FortunaPonce, PR 00717-2304
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