Individual provider Active NPI

Luis Raul Salaman Marin, MD.

  • Internal Medicine Physician
  • Fajardo, PR
National Provider Identifier
1164500237
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5437 Issued in PR
Practice address
Ave. Conquistador Esq. Calle 8
5K-1 Urb. Monte Brisas 5
Fajardo, PR 00738-1122
Phone
(787) 863-4789
Fax
(787) 863-4789
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5437 PR Primary

Addresses

Primary practice location

Ave. Conquistador Esq. Calle 8
5K-1 Urb. Monte Brisas 5
Fajardo, PR 00738-1122

Mailing address

PO Box 1122
Fajardo, PR 00738-1122
Phone (787) 863-4789

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
I20100817001331 PR Practitioner - Internal Medicine 0941334676 Practice locations: Fajardo, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Puerto Rico School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Ave Conquistador Esq Calle
8 5 K 1 Urb Monte Brisas 5
Fajardo, PR 00738-3616
Phone (787) 863-4789

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5437PRMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1164500237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1122",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007381122",
            "telephone_number": "787-863-4789",
            "fax_number": "787-863-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. CONQUISTADOR ESQ. CALLE 8",
            "address_2": "5K-1 URB. MONTE BRISAS 5",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007381122",
            "telephone_number": "787-863-4789",
            "fax_number": "787-863-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMAN MARIN",
        "first_name": "LUIS",
        "middle_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "MD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "5437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.