Individual provider Active NPI

Luis Fontan Lasanta

  • Infectious Disease Physician
  • Cayey, PR
National Provider Identifier
1740308675
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
13566 Issued in PR
Practice address
Road 14 KM 72.0 Bo Rincon Sec Lomas
Centro Medico Menonita Cayey
Cayey, PR 00737-2800
Phone
(877) 535-1001
Fax
(787) 535-1012
NPI assigned
Mar 27, 2007
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 13566 PR Primary

Addresses

Primary practice location

Road 14 KM 72.0 Bo Rincon Sec Lomas
Centro Medico Menonita Cayey
Cayey, PR 00737-2800

Mailing address

20 Luis Munoz Marin Avenue
PMB 611 Urb Villa Blanca
Caguas, PR 00725
Phone (787) 644-1333

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
I20080314000221 PR Practitioner - Infectious DiseasePractitioner - Internal Medicine 1153406194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FFV Id Med Group PSCGroup PAC ID 8325051667, 2 clinicians

Practice addresses (Care Compare)

Bo Rincon Sector Lomas Carretra 14 KM
Hospital Menonita de Cayey
Cayey, PR 00737-2800
Phone (787) 535-1001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13566PRMDInfectious Disease Physician

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1740308675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LUIS MUNOZ MARIN AVENUE",
            "address_2": "PMB 611 URB VILLA BLANCA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-644-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 14 KM 72.0 BO RINCON SEC LOMAS",
            "address_2": "CENTRO MEDICO MENONITA CAYEY",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007372800",
            "telephone_number": "877-535-1001",
            "fax_number": "787-535-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAN LASANTA",
        "first_name": "LUIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PR",
            "license": "13566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.