Luis Manuel Gesualdo Albors, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

19291 Issued in PR

Practice address

Haciendas del Monte,Paseo la Fortuna 7009
Coto Laurel, PONCE 00780
UM

Phone

(787) 340-8122

Fax

(787) 812-0404

NPI assigned

Aug 11, 2015

Last updated

Aug 9, 2016By 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Clinica Yaguez, Inc.

  • Multi-Specialty Clinic/Center
  • Mayaguez, PR
  • NPI 1326069220
  Medicare reassignment NPD
• Clinica Yaguez Inc

  dba Pavia Health Clinic Guanica

  • Emergency Medical Services (Emergency Medicine) Physician
  • Guanica, PR
  • NPI 1811455413
  NPD
• Clinica Yaguez, Inc

  dba Centro Radiologico Clinica Yaguez

  • Specialist
  • Mayaguez, PR
  • NPI 1538617279
  NPD

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1144696329",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "HACIENDAS DEL MONTE,PASEO LA FORTUNA 7009",
            "city": "COTO LAUREL",
            "state": "PONCE",
            "postal_code": "00780",
            "telephone_number": "787-340-8122",
            "fax_number": "787-812-0404"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "HACIENDAS DEL MONTE,PASEO LA FORTUNA 7009",
            "city": "COTO LAUREL",
            "state": "PONCE",
            "postal_code": "00780",
            "telephone_number": "787-340-8122",
            "fax_number": "787-812-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESUALDO ALBORS",
        "first_name": "LUIS",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-11",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.