NPIMap

Individual provider Active NPI

Luis Orlando Gerena Montano, M.D.

  • Pulmonary Disease Physician
  • Bayamon, PR
National Provider Identifier
1104225523
Registry record updated Jul 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
18861 Issued in PR
Practice address
91 Calle Queens
Bayamon, PR 00959-2713
Phone
(787) 436-1943
NPI assigned
Aug 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18861 PR
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 18861 PR
Pulmonary Disease Physician 207RP1001X 18861 PR Primary

Addresses

Primary practice location

91 Calle Queens
Bayamon, PR 00959-2713

Mailing address

91 Calle Queens
Bayamon, PR 00959-2713
Phone (787) 436-1943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230905004188 PR Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3375906514 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro Health Clinical Services LLCGroup PAC ID 1759692478, 21 clinicians

Practice addresses (Care Compare)

2 ND Bayamon Health Ctr
Bayamon, PR 00961

Calle Manuel F Rossi Esq Isabel II
Bayamon Medical Center 2ND FL
Bayamon, PR 00961
Phone 78726965902206

Hospital & facility affiliations

  • San Juan Municipality Hospital Hospital, Rio Piedras, PR, CCN 400015
  • Hospital Oncologico Dr Isaac Gonzalez Martinez Hospital, San Juan, PR, CCN 400012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18861PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Health Clinical Services LLC CurrentSince Dec 1, 2024 Accepting new patients
Allianze Medical Services, PSC Pulmonary Disease PastSince Mar 6, 2013 Accepting new patients
Municipality of San Juan PR Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689465600000",
    "number": "1104225523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CALLE QUEENS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009592713",
            "telephone_number": "787-436-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 CALLE QUEENS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009592713",
            "telephone_number": "787-436-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERENA MONTANO",
        "first_name": "LUIS",
        "middle_name": "ORLANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-21",
        "last_updated": "2023-07-16",
        "certification_date": "2023-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "18861",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PR",
            "license": "18861",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "18861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.