Luis Ambert, MD

Individual provider Active NPI Urology Physician · Guaynabo, PR

NPI 1295794014 · NPPES record last updated Apr 9, 2020

Key facts

NPI
1295794014
Entity type
Individual (NPI type 1)
Primary specialty
Urology Physician 208800000X
License
12899 (PR)
Practice address
Cond El Bosque Apt 1608
13 B Camino Los Baez
Guaynabo, PR 00965
Phone
(787) 781-1005
Fax
(787) 273-6510
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Urology
Education
University Central del Caribe Escuela de Medicina, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr
8 Urb Las Lomas
Rio Piedras, PR 00921-3312

Hospital & facility affiliations

  • Metropolitan Hospital Hospital · San Juan, PR · CCN 400106

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

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 IDStateProvider typePAC IDDetails
I20040921000598 PR Practitioner - Urology 4981672607 Reassigns benefits to 2 organizations
Practice locations: Rio Piedras, PR

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12899PRMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PR Male & Female Urological PSC Urology Current
since Jul 1, 2004
Accepting new patients

Locations

T3-8 Carr 21
San Juan, PR 00921
Phone (787) 763-7272

Interoperability endpoints

  • Direct secure messaging: lambert@821.securemail.prognocis.com
  • Direct secure messaging: luis.ambert@3770.securemail.prognocis.com
  • Direct secure messaging: luis.ambertvalderrama@4281.securemail.prognocis.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 12899 PR Yes

Addresses

Primary practice location

Cond El Bosque Apt 1608
13 B Camino Los Baez
Guaynabo, PR 00965

Mailing address

Cond El Bosque Apt 1608
13 B Camino Los Baez
Guaynabo, PR 00965
Phone (787) 781-1005

Other providers in Guaynabo, PR

All providers in Guaynabo, PR · Urology Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.