Luis Raul Forti Isales, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10315 Issued in PR

Practice address

Edificio Medico Santa Cruz # 73
Suite 410
Bayamon, PR 00960

Phone

(787) 269-8611

Fax

(787) 778-1711

NPI assigned

Oct 6, 2006

Last updated

Jan 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lfortiisales@1468.securemail.prognocis.com

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.

• Kayada Corp

  • Internal Medicine Physician
  • Guaynabo, PR
  • NPI 1831412527
  Medicare reassignment NPD

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1205923505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 136",
            "address_2": "3071 AVE. ALEJANDRINO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-269-8611",
            "fax_number": "787-778-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO MEDICO SANTA CRUZ # 73",
            "address_2": "SUITE 410",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-269-8611",
            "fax_number": "787-778-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTI ISALES",
        "first_name": "LUIS",
        "middle_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "10315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felipe Fontanez Sullivan, M.D.
• Fontmd LLC
• For Eyes Optical of Puerto Rico, LLC
• For Eyes Optical of Puerto Rico, LLC
• Zhahedia Zhaythseff Fort, MD
• Jose Luis Fossas Blanco, MD
• Jose A Fossas Feliu, DMD
• Christian Anthony Foy, M.D.
• FPRM
• Carlos J Fraga, MD

• Internal Medicine Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.

Verify at the official NPI Registry.