Individual provider Active NPI

Lucas Jorge Riossantoni, M.D.

  • General Practice Physician
  • Guanica, PR
National Provider Identifier
1669542486
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5130 Issued in PR
Practice address
12 Calle Yaguer
Guanica, PR 00653-2533
Phone
(787) 821-2320
Fax
(787) 821-7362
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 5130 PR Primary

Addresses

Primary practice location

12 Calle Yaguer
Guanica, PR 00653-2533

Mailing address

PO Box 1303
Guanica, PR 00653-1303
Phone (787) 821-2320

Other identifiers 9

IdentifierTypeStateIssuer
2381OtherPRPREFERRED MEDICARE CHOICE
100354WOtherPRMEDICARE Y MUCHO MAS
1130OtherFIRST MEDICAL HEALTH PLAN
582626003OtherPRLA CRUZ AZUL
01802OtherPRAMERICAN HEALTH INC.
66011111101OtherPRMCS MEDICAL CARD SYSTEM
6530012OtherPRHUMANA HEALTH PLAN
26400OtherPRREFORMA DE SSS
201762OtherPRPREFERRED HEALTH

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
I20240502004159 PR Practitioner - General Practice 0749620003 Practice locations: Guanica, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1669542486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1303",
            "city": "GUANICA",
            "state": "PR",
            "postal_code": "006531303",
            "telephone_number": "787-821-2320",
            "fax_number": "787-821-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CALLE YAGUER",
            "city": "GUANICA",
            "state": "PR",
            "postal_code": "006532533",
            "telephone_number": "787-821-2320",
            "fax_number": "787-821-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOSSANTONI",
        "first_name": "LUCAS",
        "middle_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "5130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "2381",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "100354W",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL HEALTH PLAN",
            "identifier": "1130",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CRUZ AZUL",
            "identifier": "582626003",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH INC.",
            "identifier": "01802",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS MEDICAL CARD SYSTEM",
            "identifier": "66011111101",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLAN",
            "identifier": "6530012",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REFORMA DE SSS",
            "identifier": "26400",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "201762",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guanica, PR

Sources for this page

Verify at the official NPI Registry.