Individual provider Active NPI

Luis A Navedo, PA

  • Physician Assistant
  • Carolina, PR
National Provider Identifier
1487669180
Registry record updated Aug 21, 2026
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Aug 20, 2015.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001504 Issued in PR
Practice address
1 Ave Laguna
Laguna Gardens I, Apt 3J
Carolina, PR 00979-6401
Phone
(787) 667-1085
NPI assigned
Jul 30, 2006
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001504 PR Primary

Addresses

Primary practice location

1 Ave Laguna
Laguna Gardens I, Apt 3J
Carolina, PR 00979-6401

Mailing address

1 Ave Laguna
Carolina, PR 00979-6525
Phone (939) 227-6732

Other names 1

  • Dr. Luis A Navedo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16498PRMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1487669180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AVE LAGUNA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009796525",
            "telephone_number": "939-227-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AVE LAGUNA",
            "address_2": "LAGUNA GARDENS I, APT 3J",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009796401",
            "telephone_number": "787-667-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVEDO",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "001504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "NAVEDO",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "NAVEDO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.