Individual provider Active NPI

Luisa Fernanda Angel Buitrago

  • Neurology with Special Qualifications in Child Neurology Physician
  • Cayey, PR
National Provider Identifier
1538578190
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
19494 Issued in PR
Practice address
Barrio Montellano Carr 14 KM 72
Cayey, PR 00736
Phone
(939) 419-8866
NPI assigned
Aug 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 31481R PR
Clinical Neurophysiology Physician 2084N0600X 19494 PR
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 19494 PR Primary

Addresses

Primary practice location

Barrio Montellano Carr 14 KM 72
Cayey, PR 00736

Mailing address

PO Box 373206
Cayey, PR 00737-3206
Phone (787) 460-9225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31481RPRMDPediatrics Physician
19494PRMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Little Angel's Neurology Corporation Neurology With Special Qualifications in Child Neurology CurrentSince Nov 28, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjclbuitra@yourcarecommunity.org

Organizations & group practices 1

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": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1538578190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373206",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007373206",
            "telephone_number": "787-460-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRIO MONTELLANO CARR 14 KM 72",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "939-419-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGEL BUITRAGO",
        "first_name": "LUISA",
        "middle_name": "FERNANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "31481R",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "PR",
            "license": "19494",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "PR",
            "license": "19494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.