Individual provider Active NPI

Luis Gerena

  • Rehabilitation Practitioner
  • Coto Laurel, PR
National Provider Identifier
1679533723
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
5716 Issued in PR
Practice address
Torre San Cristobal PR 506 KM. 1.0. Tercer Piso
Suit 310 C/O
Coto Laurel, PR 00780-0997
Phone
(787) 840-2747
Fax
(787) 840-2747
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X 5716 PR Primary

Addresses

Primary practice location

Torre San Cristobal PR 506 KM. 1.0. Tercer Piso
Suit 310 C/O
Coto Laurel, PR 00780-0997

Mailing address

PO Box 800997
Torre San Cristobal Suit 310
Coto Laurel, PR 00780-0997
Phone (787) 840-2747

Other identifiers 6

IdentifierTypeStateIssuer
2-7599OtherPRTRIPLE S
2501929OtherPRACAA
600257OtherPRMEDICARE MUCHO MAS
223049OtherPRPREFERED HEALTH
4043OtherPRPREFERED MEDICARE CHOICE
9130001OtherPRHUMANA INSURANCE

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
I20080513000553 PR Practitioner - Physical Medicine and Rehabilitation 2062581317 Practice locations: Ponce, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5716PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Fisiatria Neuromuscular de Ponce, C.S.P. PastSince May 16, 2021 Accepting new patients

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1679533723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800997",
            "address_2": "TORRE SAN CRISTOBAL SUIT 310",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800997",
            "telephone_number": "787-840-2747",
            "fax_number": "787-840-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE SAN CRISTOBAL PR 506 KM. 1.0. TERCER PISO",
            "address_2": "SUIT 310 C/O",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800997",
            "telephone_number": "787-840-2747",
            "fax_number": "787-840-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERENA",
        "first_name": "LUIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "PR",
            "license": "5716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "2-7599",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACAA",
            "identifier": "2501929",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MUCHO MAS",
            "identifier": "600257",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERED HEALTH",
            "identifier": "223049",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERED MEDICARE CHOICE",
            "identifier": "4043",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "9130001",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

Verify at the official NPI Registry.