Individual provider Active NPI

Luis M Cabrera de la Matta, M.D.

  • Family Medicine Physician
  • Santurce, PR
National Provider Identifier
1538176276
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10826 Issued in PR
Practice address
Calle Manuel Pavia 611 Suite 213
Santurce, PR 00910
Phone
(787) 722-3944
NPI assigned
Aug 2, 2006
Last updated
May 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10826 PR Primary

Addresses

Primary practice location

Calle Manuel Pavia 611 Suite 213
Santurce, PR 00910

Mailing address

Calle 1 E2
Urb Prado Alto
Guaynabo, PR 00966-3021
Phone (787) 640-7095

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
I20100707000213 PR Practitioner - Family Practice 1355447616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Manuel Pavia
611 Suite 213
San Juan, PR 00910-2244
Phone (787) 722-3944

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cabrera Martin Healthcare Inc Family Medicine CurrentSince Oct 1, 2002 Accepting new patients
Island Infusion Pharmacy Inc PastSince Mar 12, 2007 Accepting new patients

Locations

611 Calle Pavia
Ste 213
Santurce, PR 00909
Phone (787) 268-1300

Interoperability endpoints

  • Direct secure messaging: sjclcabre@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1538176276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 1 E2",
            "address_2": "URB PRADO ALTO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009663021",
            "telephone_number": "787-640-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MANUEL PAVIA 611 SUITE 213",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00910",
            "telephone_number": "787-722-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA DE LA MATTA",
        "first_name": "LUIS",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "10826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

Verify at the official NPI Registry.