Luis M Dorta, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

7656 Issued in PR

Practice address

Calle Mayaguez #45
San Juan, PR 00917

Phone

(787) 281-0032

Fax

(787) 767-3412

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• San Juan Capestrano Hospital Inc.

  dba San Juan Capestrano Hospital

  • Psychiatric Hospital
  • Rio Piedras, PR
  • NPI 1144293705
  NPD (past)
• San Juan Capestrano Hospital, Inc.

  dba San Juan Capestrano Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Juan, PR
  • NPI 1144439621
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699833376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 ISLA VERDE AVE",
            "address_2": "PMB 1213",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00979",
            "telephone_number": "787-281-0032",
            "fax_number": "787-767-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MAYAGUEZ #45",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-281-0032",
            "fax_number": "787-767-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORTA",
        "first_name": "LUIS",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "7656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivianette Dones Birriel, MSW
• Valeria Alexandra Dones-Medina, MSW
• Javier Enrique Donestevez Antunano, MD
• Luisamari Dorna Perez
• Vicente Andres Doron Santiago
• Awilda Dorville, LPN
• Jose Manuel Dosal Garcia, MD
• Maria Fernanda Dossantos Torres
• Lirie Alexandra Doyle, DMD
• Dr Angel Rodriguez Quinones PSC

• Psychiatry Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.