Active NPI
Luis A Almodovar Marchany, MD
- General Practice Physician
- Hormigueros, PR
National Provider Identifier
1053533067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 5306
- Practice address
- Ave Luis Munoz Marin #6
Hormigueros, PR 00660 - Phone
- (787) 849-3055
- Fax
- (787) 849-3351
- NPI assigned
- May 2, 2007
- Last updated
- Jun 13, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 5306 | PR | Primary |
Addresses
Primary practice location
Ave Luis Munoz Marin #6
Hormigueros, PR 00660
Mailing address
Box 793
Hormigueros, PR 00660
Phone (787) 849-3055
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040927000134 | PR | Practitioner - General Practice | 0547239725 | Practice locations: Juncos, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Community Health Services, PSC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Physician
- Hormigueros, PR
- NPI 1053626788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1053533067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 793",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "00660",
"telephone_number": "787-849-3055",
"fax_number": "787-849-3351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE LUIS MUNOZ MARIN #6",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "00660",
"telephone_number": "787-849-3055",
"fax_number": "787-849-3351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALMODOVAR MARCHANY",
"first_name": "LUIS",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "5306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hormigueros, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.