Individual provider Active NPI

Luis M Fernandez-Brito, M.D.

  • General Practice Physician
  • Humacao, PR
National Provider Identifier
1487623385
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12171 Issued in PR
Practice address
Calle Antonio Lopez
#52
Humacao, PR 00791
Phone
(787) 285-6557
Fax
(787) 285-6557
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 12171 PR Primary

Addresses

Primary practice location

Calle Antonio Lopez
#52
Humacao, PR 00791

Mailing address

Calle 1 N-14
Villa Humacao
Humacao, PR 00791-0001
Phone (787) 285-6557

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
I20110330000131 PR Practitioner - General Practice 8820271737 Practice locations: Humacao, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

N14 Calle
Suite 1
Humacao, PR 00791

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1487623385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 1 N-14",
            "address_2": "VILLA HUMACAO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007910001",
            "telephone_number": "787-285-6557",
            "fax_number": "787-285-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE ANTONIO LOPEZ",
            "address_2": "#52",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-285-6557",
            "fax_number": "787-285-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ-BRITO",
        "first_name": "LUIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.