Individual provider Active NPI

Ulises Lisandro Nobo, M.D.

  • Neurology Physician
  • Caguas, PR
National Provider Identifier
1487705141
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
16710 Issued in PR
Practice address
Ave Luis Munoz Marin Hima San Pablo
Sotano Dpto Neurologia
Caguas, PR 00725
Phone
(787) 653-1764
Fax
(787) 653-1789
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X E-12082 AR
Neurology Physician 2084N0400X 58763 TN
Psychiatry Physician 2084P0800X 26512 MS
Neurology Physician 2084N0400X 16710 PR Primary

Addresses

Primary practice location

Ave Luis Munoz Marin Hima San Pablo
Sotano Dpto Neurologia
Caguas, PR 00725

Mailing address

Urb El Valle
164 Calle Bucano Gigante
Caguas, PR 00727
Phone (787) 653-3191

Other names 1

  • Mr. Ulises Lisandro Nobo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, MS, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070222000557 PR Practitioner - Neurology 0345138749 Reassigns benefits to 4 organizations
I20200304001247 MS Practitioner - Neurology 0345138749 Reassigns benefits to 1 organization
I20200604003261 TN Practitioner - Neurology 0345138749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hospital Menonita Caguas IncGroup PAC ID 8921254780, 48 clinicians

Practice addresses (Care Compare)

Salida 21 Caguas a Cidra
Urb Turabo Garden
Caguas, PR 00725-0000
Phone (787) 434-1700

Hospital & facility affiliations

  • Hospital Menonita Caguas Inc Hospital, Caguas, PR, CCN 400104
  • Hospital Menonita Ponce Hospital, Ponce, PR, CCN 400113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58763TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Jan 1, 2007 Accepting new patients
Hospital Menonita Ponce Inc CurrentSince Aug 18, 2024 Accepting new patients
Mennonite General Hospital Inc CurrentSince Oct 1, 2020 Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Mennonite General Hospital Inc. CurrentSince Oct 1, 2020 Accepting new patients
Mount Carmel Health System CurrentSince Sep 19, 2020 Accepting new patients
Hospital Menonita Caguas Inc CurrentSince Jan 12, 2026 Accepting new patients
Mount Carmel Health System CurrentSince Sep 19, 2020 Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jan 1, 2007 Accepting new patients
Hospital Menonita Caguas Inc Neurology CurrentSince Jan 12, 2026 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients

Locations

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1487705141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB EL VALLE",
            "address_2": "164 CALLE BUCANO GIGANTE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-653-3191",
            "fax_number": "787-653-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LUIS MUNOZ MARIN HIMA SAN PABLO",
            "address_2": "SOTANO DPTO NEUROLOGIA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-653-1764",
            "fax_number": "787-653-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBO",
        "first_name": "ULISES",
        "middle_name": "LISANDRO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AR",
            "license": "E-12082",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "58763",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "26512",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "16710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ULISES",
            "last_name": "NOBO",
            "middle_name": "LISANDRO",
            "prefix": "MR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.