Individual provider Active NPI

Luis Jose Almodovar Fabregas, MD

  • Neurological Surgery Physician
  • Caguas, PR
National Provider Identifier
1154515641
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
13606 Issued in PR
Practice address
100 Ave L Munoz Marin Ste 706
Caguas, PR 00725-6184
Phone
(787) 653-2217
NPI assigned
Aug 28, 2007
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X Q7131 TX
Neurological Surgery Physician 207T00000X 13606 PR Primary

Addresses

Primary practice location

100 Ave L Munoz Marin Ste 706
Caguas, PR 00725-6184

Mailing address

208 Calle Mimosa
San Juan, PR 00927-6225

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090128000570 PR Practitioner - NeurosurgeryPractitioner - Surgical OncologyPractitioner - Neurology 1153485685 Reassigns benefits to 3 organizations
Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
NeurosurgeryAlso: Surgical Oncology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Ave Luis Munoz Marin
Caguas, PR 00725-6184
Phone (787) 653-2217

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q7131TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Jul 1, 2021 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Dec 18, 2008 Accepting new patients
Recinto de Ciencias Medicas Neurological Surgery CurrentSince Jul 1, 2021 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Dec 18, 2008 Accepting new patients
Hospital Menonita Caguas Inc Past Accepting new patients
Neurosurgical Oncology Group Specialist PastSince Jun 7, 2020 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

100 Ave Luis Munoz Marin
Ste 706
Caguas, PR 00725
Phone (787) 370-1400

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1154515641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CALLE MIMOSA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVE L MUNOZ MARIN STE 706",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256184",
            "telephone_number": "787-653-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMODOVAR FABREGAS",
        "first_name": "LUIS",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "Q7131",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PR",
            "license": "13606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.