Individual provider Active NPI

Luis R. Burgos-Anaya

  • Diagnostic Radiology Physician
  • San Juan, PR
National Provider Identifier
1508209347
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
19851 Issued in PR
Practice address
650 Calle Lloveras
Cond Centro Plaza Suite 104
San Juan, PR 00909
Phone
(787) 625-1446
NPI assigned
Apr 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 19851 PR Primary

Addresses

Primary practice location

650 Calle Lloveras
Cond Centro Plaza Suite 104
San Juan, PR 00909

Mailing address

PO Box 8040
San Juan, PR 00910-0040

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
I20181220001972 PR Practitioner - Diagnostic Radiology 9739451238 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ponce School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology and Body Imaging PSCGroup PAC ID 1557790110, 16 clinicians

Practice addresses (Care Compare)

735 Ave Ponce de Leon
Suite 375
San Juan, PR 00917-5025
Phone (787) 758-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19851PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Demadi PSC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
M & P Radiologos, LLC Diagnostic Radiology CurrentSince Sep 29, 2018 Accepting new patients
De Jesus & Matos Medical Imaging Professionals, PSC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Centro Radiodiagnostico de Carolina LLC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Oncology & Body Imaging PSC Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
DJM Imaging Center LLC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Roberto J Sein & Rafael M Rivera PTR Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients

Organizations & group practices 7

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": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1508209347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8040",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009100040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CALLE LLOVERAS",
            "address_2": "COND CENTRO PLAZA SUITE 104",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-625-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS-ANAYA",
        "first_name": "LUIS",
        "middle_name": "R.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "19851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.