Individual provider Active NPI

Laurianne El Musa Penna, MD, MPH

  • Endocrinology, Diabetes & Metabolism Physician
  • Ponce, PR
National Provider Identifier
1629561527
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
21780 Issued in PR
Practice address
917 Ave Tito Castro
Hospital Episcopal San Lucas Dpto Medicina Interna
Ponce, PR 00730
Phone
(787) 844-2080
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21780 PR
Internal Medicine Physician 207R00000X 33496R PR
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 21780 PR Primary

Addresses

Primary practice location

917 Ave Tito Castro
Hospital Episcopal San Lucas Dpto Medicina Interna
Ponce, PR 00730

Mailing address

Edificio Profesional Domingo Torres Zayas
Oficina 305
Cayey, PR 00737

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
I20241018001341 PR Practitioner - Endocrinology 1052843844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Edificio Professional Domingo Torres
Suite 305
Cayey, PR 00737
Phone (787) 234-2784

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21780PRMDInternal Medicine Physician
33496RPRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laurianne El Musa Penna, LLC Endocrinology, Diabetes & Metabolism CurrentSince Sep 12, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: laurianne.elmusapenna.p1@direct.vitacare.nextgenshare.com

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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1629561527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDIFICIO PROFESIONAL DOMINGO TORRES ZAYAS",
            "address_2": "OFICINA 305",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 AVE TITO CASTRO",
            "address_2": "HOSPITAL EPISCOPAL SAN LUCAS DPTO MEDICINA INTERNA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730",
            "telephone_number": "787-844-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL MUSA PENNA",
        "first_name": "LAURIANNE",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "21780",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "33496R",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "21780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.