Individual provider Active NPI

Frank A. Gregory, MD

  • General Practice Physician
  • Luquillo, PR
National Provider Identifier
1063471480
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14843 Issued in PR
Practice address
171 Calle CPL Feliciano Rivera
Luquillo, PR 00773-2147
Phone
(939) 415-0024
Fax
(787) 534-8385
NPI assigned
Mar 23, 2006
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14843 PR Primary

Addresses

Primary practice location

171 Calle CPL Feliciano Rivera
Luquillo, PR 00773-2147

Mailing address

PO Box 77
Luquillo, PR 00773-0077
Phone (939) 415-0024

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
I20060531000192 PR Practitioner - General Practice 3375554504 Practice locations: Luquillo, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

165 Calle Florida
Luquillo, PR 00773-2147
Phone (787) 889-0024

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Luquillo Medical LLC General Practice CurrentSince Dec 13, 2020 Accepting new patients

Locations

171 Calle Cpl Feliciano Rivera
Luquillo, PR 00773
Phone (787) 534-8384

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1063471480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007730077",
            "telephone_number": "939-415-0024",
            "fax_number": "787-534-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 CALLE CPL FELICIANO RIVERA",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007732147",
            "telephone_number": "939-415-0024",
            "fax_number": "787-534-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "FRANK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luquillo, PR

Sources for this page

Verify at the official NPI Registry.