Individual provider Active NPI

Luis Garcia Paredes

  • Vascular & Interventional Radiology Physician
  • San Juan, PR
National Provider Identifier
1033525480
Registry record updated Sep 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
021235 Issued in PR
Practice address
1462 Calle Prof Augusto Rodriguez
San Juan, PR 00909-2199
Phone
(787) 641-1616
NPI assigned
Jul 7, 2014
Last updated
Sep 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 021235 PR Primary

Addresses

Primary practice location

1462 Calle Prof Augusto Rodriguez
San Juan, PR 00909-2199

Mailing address

PO Box 270246
San Juan, PR 00927-6211

Other practice location 1

University District Hospital Puerto Rico Medical Center
BO. Monacillos
San Juan, PR 00935-0001
Phone (787) 754-0101

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200708001050 PR Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8921330952 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology and Body Imaging PSCGroup PAC ID 1557790110, 16 clinicians
Simaging Diagnostic and Interventions-SimaGroup PAC ID 3779951967, 3 clinicians

Practice addresses (Care Compare)

735 Ave Ponce de Leon
Suite 375
San Juan, PR 00917-5025
Phone (787) 758-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
29.05 of 100Reported as group
Quality
16.53
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
021235PRMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M & P Radiologos, LLC Diagnostic Radiology CurrentSince Jul 13, 2020 Accepting new patients
Oncology & Body Imaging PSC Diagnostic Radiology CurrentSince Jun 20, 2025 Accepting new patients
Simaging Diagnostic & Interventions-Sima Diagnostic Radiology CurrentSince Aug 4, 2025 Accepting new patients

Locations

435 Ave Ponce de Leon
San Juan, PR 00917
Phone (787) 616-3459

1462 Calle Prof Augusto Rodriguez
Santurce, PR 00909
Phone (787) 238-2602

Organizations & group practices 3

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726358400000",
    "number": "1033525480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270246",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 CALLE PROF AUGUSTO RODRIGUEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092199",
            "telephone_number": "787-641-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University District Hospital Puerto Rico Medical Center",
            "address_2": "BO. Monacillos",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009350001",
            "country_code": "US",
            "telephone_number": "787-754-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA PAREDES",
        "first_name": "LUIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-07",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PR",
            "license": "021235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.