Luke Nelson

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15593 Issued in PR

Practice address

Num 80 Calle 3 Sur
Guayama, PR 00784

Phone

(787) 866-1212

Fax

(787) 866-3322

NPI assigned

Apr 16, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: luke.nelsonadolph@3479.securemail.prognocis.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Health Care Group, Inc.

  • Internal Medicine Physician
  • Guayama, PR
  • NPI 1780770917
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1023437126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8071",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007268071",
            "telephone_number": "646-642-8021",
            "fax_number": "787-866-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NUM 80 CALLE 3 SUR",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-866-1212",
            "fax_number": "787-866-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LUKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "15593",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Muns Sosa, M.D.
• Jennifer Navas
• Eduardo Negron Cotto, PHARM. D.
• America Negron
• Maria Isabel Negron, MSW
• Nephrocare, LLC
• Roque Cesar Nido Lanausse, M.D.
• Roque A Nido Nylund, M.D.
• Maria Angelica Nieves, PHARMACY TECHNICIAN
• Gilbert Noe, MD

• Internal Medicine Physician in Guayama, PR
• Providers in Guayama, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.