Luis Antonio Bracero Baumgartner, MD
Individual provider Active NPI Physician Assistant · Ponce, PR
NPI 1144147653 · NPPES record last updated Jul 4, 2026
Key facts
- NPI
- 1144147653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2359 (PR)
- Practice address
- 1955 Calle Fortuna
Ponce, PR 00717-2304 - Phone
- (787) 439-8717
- NPI assigned
- Jul 4, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant |
363A00000X | 2359 | PR | Yes |
Addresses
Primary practice location
1955 Calle Fortuna
Ponce, PR 00717-2304
Mailing address
1955 Calle Fortuna
Ponce, PR 00717-2304
Other providers in Ponce, PR
- Laura Maria Bou Delgado
- Luis Roberto Bou-Padilla
- Heriberto Bourdon Maldonado
- BPS & Trauma'S Line
- William Bracer
- Valeria Dyal Bracero Torres
- Alessandro Francesco Bragetti
- Raisa De la Caridad Brana Miranda
- Alfredo A Bravo Colon
- Alfredo Adolfo Bravo
All providers in Ponce, PR · Physician Assistant in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.