Gil Edgardo Nieves-Luciano

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21187 Issued in PR

Practice address

HC 73 Box 4764
Naranjito, PR 00719-9164

Phone

(787) 368-0637

NPI assigned

Mar 8, 2016

Last updated

Feb 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Family Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayamon Medical Center Hospital, Bayamon, PR, CCN 400032

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Family Medical Clinic LLC

  • Family Medicine Physician
  • Bayamon, PR
  • NPI 1770313041
  NPD Authorized official
• Maria Eugenia Lozada,LLC

  • Surgery Physician
  • Manati, PR
  • NPI 1598493967
  NPD (past)
• Promed Center LLC

  • Emergency Medicine Physician
  • Manati, PR
  • NPI 1669156964
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayamon Medical Center Corp

  • General Acute Care Hospital
  • Bayamon, PR
  • NPI 1912930488
  Care Compare affiliation

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1538520325",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "CARR 164 RAMAL 815 KM 3.3",
            "city": "NARANJITO",
            "state": "PUERTO RICO",
            "postal_code": "00719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 73 BOX 4764",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007199164",
            "telephone_number": "787-368-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES-LUCIANO",
        "first_name": "GIL",
        "middle_name": "EDGARDO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-08",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "21187",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "PR",
            "license": "14037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladynell Negron, MSW
• Lizbeth Negron
• Karmarie Nieves Figueroa
• Jorge O Nieves Ortega
• Maria Luisa Nieves Tirado, MD, FAAP
• Aurea Nieves, PH
• Barbara Dolores Nieves, LPC
• Nancy L Nieves, RPH
• Noah Ark Pediatric Clinic LLC
• Miguel A Nova, MD FAAFP

• Family Medicine Physician in Naranjito, PR
• Providers in Naranjito, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.