Luis E Moreno, MD

Individual provider Active NPI General Practice Physician · Catano, PR

NPI 1720042054 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1720042054
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
12374 (PR)
Practice address
Las Flores St 76 No
Catano, PR 00962
Phone
(787) 788-2770
Fax
(787) 275-0855
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

Medicare Care Compare profile

Specialty
General Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

48 Calle Las Flores
Catano, PR 00962-4745
Phone (787) 788-2770

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120320000157 PR Practitioner - General Practice 9537329172 Practice locations: Catano, PR

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12374PRMDGeneral Practice Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 12374 PR Yes

Addresses

Primary practice location

Las Flores St 76 No
Catano, PR 00962

Mailing address

389 No Ciudad Jardin III
Gran Ausubo St
Toa Alto, PR 00953-4886
Phone (787) 799-0604

Other identifiers

IdentifierTypeStateIssuer
500134EOtherPRMMM

Other providers in Catano, PR

All providers in Catano, PR · General Practice Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.