Luis Gerardo Reyes Carrasquillo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4593 Issued in PR

Practice address

15 Avemunoz Rivera
Paseo Caribe Building Ste 104
San Juan, PR 00901

Phone

(888) 900-0073

Fax

(787) 289-8715

NPI assigned

Oct 6, 2021

Last updated

Feb 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Luis Gerardo Reyes Carrasquillo Professional name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Puerto Rico School of Medicine, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Advantage Health Center LLCGroup PAC ID 7012301013, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advantage Health Center LLC

  • Internal Medicine Physician
  • San Juan, PR
  • NPI 1154097962

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1073275137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE UNO APT 27B",
            "address_2": "CONDOMINO VISTAS DEL RIO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-306-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 AVEMUNOZ RIVERA",
            "address_2": "PASEO CARIBE BUILDING STE 104",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00901",
            "telephone_number": "888-900-0073",
            "fax_number": "787-289-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES CARRASQUILLO",
        "first_name": "LUIS",
        "middle_name": "GERARDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-06",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "4593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "REYES CARRASQUILLO",
            "middle_name": "GERARDO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Luis Enrique Rey, MD
• Edgardo Javier Reyes Aponte, M.D.
• Armando Rafael Reyes Bermudez, PSYD
• Pamela Melissa Reyes Bernal, NL
• Andrea Isabel Reyes Carrasquillo, PHARMD
• Raisa Alexandra Reyes Castro
• Amariles Reyes Cordova
• Frances Marie Reyes Cortes
• Valerie Reyes Fontanes, PHD
• Debora Liz Reyes Galarza, DMD

• Physical Therapist in San Juan, PR
• Providers in San Juan, PR by specialty
• Physical Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.