Individual provider Active NPI

Luis E Guasp, M.D.

  • Surgery Physician
  • Mayaguez, PR
National Provider Identifier
1396720736
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
13001 Issued in PR
Practice address
De Diego 55 Este
CPR Prof. Building 202
Mayaguez, PR 00680
Phone
(787) 805-2390
Fax
(787) 805-1949
NPI assigned
Dec 8, 2005
Last updated
May 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 13001 PR Primary

Addresses

Primary practice location

De Diego 55 Este
CPR Prof. Building 202
Mayaguez, PR 00680

Mailing address

PO Box 3066
Mayaguez, PR 00681-3066
Phone (787) 805-2390

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
I20110223000090 PR Practitioner - General PracticePractitioner - General Surgery 3678754777 Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: General Surgery
Education
University Central del Caribe Escuela de Medicina, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Cirugia Avanzada del Oeste CPR
Calle de Diego 55 Este St 202
Mayaguez, PR 00680-5080
Phone (787) 805-2390

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Removal of tissue11
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Hospital Inc Past Accepting new patients
Cirugia Avanzada del Oeste, CSP Surgery Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1396720736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3066",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813066",
            "telephone_number": "787-805-2390",
            "fax_number": "787-805-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DE DIEGO 55 ESTE",
            "address_2": "CPR PROF. BUILDING 202",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-805-2390",
            "fax_number": "787-805-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUASP",
        "first_name": "LUIS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PR",
            "license": "13001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.