Active NPI
Luis A Sanmiguel, M.D.
- Nephrology Physician
- Carolina, PR
National Provider Identifier
1164403077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 11721
- Practice address
- Carr.#3 KM8.4 Paseo del Prado SC
Suite 200
Carolina, PR 00987 - Phone
- (787) 710-2532
- Fax
- (787) 750-2830
- NPI assigned
- Nov 8, 2005
- Last updated
- Jul 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 11721 | PR | Primary |
Addresses
Primary practice location
Carr.#3 KM8.4 Paseo del Prado SC
Suite 200
Carolina, PR 00987
Mailing address
PMB 208 Pobox 2500
Trujillo Alto, PR 00977-2500
Phone (787) 710-2532
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040108000582 | PR | Practitioner - Nephrology | 5890694715 | Practice locations: Carolina, PR; San Juan, PR; Trujillo Alto, PR; Caguas, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
369 Ave de Diego
San Juan, PR 00909-1711
PR Renal Health and Research Inc
Paseo del Prado Shopping Ctr Av 65TH DVF KM
Carolina, PR 00987-7627
Phone (787) 525-2911
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11721 | PR | MD | Nephrology Physician |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Rio Piedras, PR
- NPI 1225017916
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1265493001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374537600000",
"number": "1164403077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 208 POBOX 2500",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009772500",
"telephone_number": "787-710-2532",
"fax_number": "787-750-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR.#3 KM8.4 PASEO DEL PRADO SC",
"address_2": "SUITE 200",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-710-2532",
"fax_number": "787-750-2830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANMIGUEL",
"first_name": "LUIS",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2013-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PR",
"license": "11721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.