Luis Jose Almodovar Fabregas, MD
Individual provider Active NPI Neurological Surgery Physician · Caguas, PR
NPI 1154515641 · NPPES record last updated Sep 28, 2023
Key facts
- NPI
- 1154515641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- 13606 (PR)
- Practice address
- 100 Ave L Munoz Marin Ste 706
Caguas, PR 00725-6184 - Phone
- (787) 653-2217
- NPI assigned
- Aug 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Neurosurgery
- 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
- Hospital Menonita Caguas Inc
- Auxilio Mutuo Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090128000570 | PR | Practitioner - Neurosurgery |
1153485685 |
Reassigns benefits to 3 organizations Practice locations: Caguas, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q7131 | TX | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Medico del Turabo Inc | Current |
Accepting new patients | |
| Centro Medico del Turabo Inc | Current |
Accepting new patients | |
| Recinto de Ciencias Medicas | Current |
Accepting new patients | |
| Recinto de Ciencias Medicas | Neurological Surgery | Current |
Accepting new patients |
| Hospital Menonita Caguas Inc | Past | Accepting new patients | |
| Neurosurgical Oncology Group | Specialist | Past |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Q7131 | TX | |
| Neurological Surgery Physician | 207T00000X | 13606 | PR | Yes |
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
Other providers in Caguas, PR
- All About Teeth Now P S C
- All Imaging Diagnostic Center
- All Imaging Radiology Complex
- All in One Medical Services, Inc
- Alleviate by Arias LLC
- Antoinette Alom
- Alejandra Sofia Alonso Doval
- Alternativa Moderna de Medicina Especializada
- Francisco N Alvarado Melendez
- Cristy Marie Alvarado
All providers in Caguas, PR · Neurological Surgery Physician 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 Sep 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.