Active NPI
Luis A Navedo, PA
- Physician Assistant
- Carolina, PR
National Provider Identifier
1487669180
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.
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001504
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16498 | PR | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.