Ralph C Conaway Lanuza, M.D.
Individual provider Active NPI Specialist · Hato Rey, PR
NPI 1043216401 · NPPES record last updated Feb 8, 2017
Key facts
- NPI
- 1043216401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 4357 (PR)
- Practice address
- Ave Roosevelt # 400 Clinica Las America Suite 203
Hato Rey, PR 00918-0000 - Phone
- (787) 763-9468
- Fax
- (787) 767-5003
- NPI assigned
- Jun 21, 2005
- Reactivated
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Conaway Renta and Asociados Cardiovascular
Practice addresses (Care Compare)
400 Ave FD Roosevelt
Suite 400
San Juan, PR 00918
400 Ave FD Roosevelt
Suite 400
San Juan, PR 00918-2162
Phone (787) 763-9468
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070926000082 | PR | Practitioner - Cardiovascular Disease (Cardiology) |
6103919618 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4357 | PR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conaway Renta & Asociados Cardiovascular | Specialist | Current |
Accepting new patients |
Locations
400 Ave Fd Roosevelt
Ste 203
San Juan, PR 00918
Phone (787) 763-9468
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4357 | PR | Yes |
Addresses
Primary practice location
Ave Roosevelt # 400 Clinica Las America Suite 203
Hato Rey, PR 00918-0000
Mailing address
PO Box 362309
San Juan, PR 00936-2309
Phone (787) 763-9468
Other providers in Hato Rey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.