NPIMap

Individual provider Active NPI

Luis V Clas, M.D.

  • Emergency Medicine Physician
  • San Juan, PR
National Provider Identifier
1497733349
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9829 Issued in PR
Practice address
H17 Calle la Princesa
Urb Paseo San Juan
San Juan, PR 00926-6521
Phone
(787) 748-1999
Fax
(787) 748-1999
NPI assigned
Jan 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9829 PR Primary

Addresses

Primary practice location

H17 Calle la Princesa
Urb Paseo San Juan
San Juan, PR 00926-6521

Mailing address

PO Box 363627
San Juan, PR 00936-3627
Phone (787) 748-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080211000632 PR Practitioner - General Practice 2163439266 Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9829PRMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monserrate Sales and Rental Equipment Inc. PastSince Dec 18, 1996 Accepting new patients
Centro Med Turabo Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
San Juan Municipality HospitalSan Juan, PR, CCN 400015 Hospital Corporate Officer
Corporate Director
W-2 Managing Employee		 Jan 11, 2021
Jan 11, 2021
Jan 11, 2021

Owned or controlled facilities with NPI records 16

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 16

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1497733349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363627",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009363627",
            "telephone_number": "787-748-1999",
            "fax_number": "787-748-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "H17 CALLE LA PRINCESA",
            "address_2": "URB PASEO SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266521",
            "telephone_number": "787-748-1999",
            "fax_number": "787-748-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAS",
        "first_name": "LUIS",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-01",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "9829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.