Individual provider Active NPI

Luis Rafael Novoa Garcia, MD

  • Anesthesiology Physician
  • San Juan, PR
National Provider Identifier
1659590917
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
12210 Issued in PR
Practice address
100 Gran Paseos Boulevard
Suite 112-178
San Juan, PR 00926
Phone
(787) 653-0550
Fax
(787) 704-4033
NPI assigned
Apr 25, 2007
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 12210 PR Primary

Addresses

Primary practice location

100 Gran Paseos Boulevard
Suite 112-178
San Juan, PR 00926

Mailing address

100 Gran Paseos Blvd Suite 112-178
San Juan, PR 00926
Phone (787) 858-1580

Other practice location 1

Carr#2 KM 39.5 Box 7001
Vega Baja, PR 00694-9998
Phone (787) 858-1580

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
I20120425000366 PR Practitioner - AnesthesiologyPractitioner - General Practice 1557523248 Reassigns benefits to 1 organization
Practice locations: Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: General Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Instituto Medico del Norte IncGroup PAC ID 5597728816, 6 clinicians

Practice addresses (Care Compare)

Road 2 KM 39
Centro Medico Wilma N Vazquez
Vega Baja, PR 00693-4661
Phone (787) 858-1580

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Medico del Norte Inc CurrentSince Sep 7, 2025 Accepting new patients
Instituto Medico del Norte Inc CurrentSince Sep 7, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1659590917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAN PASEOS BLVD SUITE 112-178",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-858-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRAN PASEOS BOULEVARD",
            "address_2": "SUITE 112-178",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-653-0550",
            "fax_number": "787-704-4033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CARR#2 KM 39.5 BOX 7001",
            "address_purpose": "LOCATION",
            "city": "Vega Baja",
            "state": "PR",
            "postal_code": "006949998",
            "country_code": "US",
            "telephone_number": "787-858-1580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVOA GARCIA",
        "first_name": "LUIS",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "12210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.