Luis O Garcia Colon, MD

Individual provider Active NPI General Practice Physician · Comerio, PR

NPI 1295811545 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295811545
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
16571 (PR)
Practice address
Carr 780 KM 01 Bo Paloma
Comerio, PR 00782
Phone
(787) 875-2847
Fax
(787) 875-2847
NPI assigned
Oct 30, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 4

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.

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
I20070507000531 PR Practitioner - General Practice 2466558572 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Menonita de Cayey General Practice Current
since Jul 8, 2019
Accepting new patients
Hospital Menonita de Cayey Current
since Jul 8, 2019
Accepting new patients
Log Healthcare Services PSC Past Accepting new patients
Vega Baja Community Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16571 PR Yes

Addresses

Primary practice location

Carr 780 KM 01 Bo Paloma
Comerio, PR 00782

Mailing address

HC 2 Box 7005
Comerio, PR 00782-9611
Phone (787) 875-2847

Other providers in Comerio, PR

All providers in Comerio, PR · General Practice Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.