Individual provider Active NPI

Luis A Sanmiguel, M.D.

  • Nephrology Physician
  • Carolina, PR
National Provider Identifier
1164403077
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
11721 Issued in PR
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
11721PRMDNephrology Physician

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": "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

Verify at the official NPI Registry.