Carlos Enrique Correa Luna, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23092 Issued in PR

Practice address

58 Calle Escute Ste 1
Juncos, PR 00777-3215

Phone

(787) 734-4690

NPI assigned

Jan 19, 2023

Last updated

Jan 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinica Yaguez, Inc.

  • Multi-Specialty Clinic/Center
  • Mayaguez, PR
  • NPI 1326069220
  Medicare reassignment NPD
• Clinica Yaguez, Inc

  dba Centro Radiologico Clinica Yaguez

  • Specialist
  • Mayaguez, PR
  • NPI 1538617279
  NPD

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1730894205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 CALLE ESCUTE STE 1",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007773215",
            "telephone_number": "787-734-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 CALLE ESCUTE STE 1",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007773215",
            "telephone_number": "787-734-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA LUNA",
        "first_name": "CARLOS",
        "middle_name": "ENRIQUE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Javier Colon, PHARMD
• Hector Manuel Colon, RN,BSN
• Juan A Colon, RN
• Carmen Maria Conde Almontes
• Marie Liz Contreras
• Catherine Correa
• Josee Cotto Arriaga
• Jose Crespo, M.D.
• Wilmarie Cruz Sierra, MSW
• Mariette Christie Cruz Soto, PHARMD

• General Practice Physician in Juncos, PR
• Providers in Juncos, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.