Active NPI
Luis Gerena
- Rehabilitation Practitioner
- Coto Laurel, PR
National Provider Identifier
1679533723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 5716
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2-7599 | Other | PR | TRIPLE S |
| 2501929 | Other | PR | ACAA |
| 600257 | Other | PR | MEDICARE MUCHO MAS |
| 223049 | Other | PR | PREFERED HEALTH |
| 4043 | Other | PR | PREFERED MEDICARE CHOICE |
| 9130001 | Other | PR | HUMANA 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5716 | PR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica de Fisiatria Neuromuscular de Ponce, C.S.P. | Past | 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.
-
- Medical Specialty Clinic/Center
- Coto Laurel, PR
- NPI 1497338008
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.