Active NPI
Luis Domingo Ghigliotti, M.D.
- Internal Medicine Physician
- Ponce, PR
National Provider Identifier
1124061205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12,195
- Practice address
- 1010 Paseo del Veterano
Ponce, PR 00716-2001 - Phone
- (787) 641-7582
- NPI assigned
- Jun 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 12195 | PR | |
| Internal Medicine Physician | 207R00000X | 12,195 | PR | Primary |
Addresses
Primary practice location
1010 Paseo del Veterano
Ponce, PR 00716-2001
Mailing address
414 Calle Millito Navarro
Estancias del Golf Club
Ponce, PR 00730-0522
Phone (787) 290-2291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12195 | PR | MD | Specialist |
| 12,195 | PR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1124061205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 CALLE MILLITO NAVARRO",
"address_2": "ESTANCIAS DEL GOLF CLUB",
"city": "PONCE",
"state": "PR",
"postal_code": "007300522",
"telephone_number": "787-290-2291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 PASEO DEL VETERANO",
"city": "PONCE",
"state": "PR",
"postal_code": "007162001",
"telephone_number": "787-641-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHIGLIOTTI",
"first_name": "LUIS",
"middle_name": "DOMINGO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "12195",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "12,195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.