Luis Roberto Canas, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5047 Issued in PR

Practice address

38C Calle 1
Villa Rosales
Aibonito, PR 00705

Phone

(787) 735-7859

Fax

(787) 954-7501

NPI assigned

Jun 15, 2005

Sex

Male

Sole proprietor

Yes

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.

• Centropolimenonita de Coamo

  • Specialist
  • Coamo, PR
  • NPI 1376569434
  NPD (past) Authorized official
• LRC Medical Professional Services LLC

  • Primary Care Clinic/Center
  • Aibonito, PR
  • NPI 1558748798
  NPD (past) Authorized official

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2024.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1790780914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2000",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007052000",
            "telephone_number": "787-638-0246",
            "fax_number": "787-735-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38C CALLE 1",
            "address_2": "VILLA ROSALES",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-735-7859",
            "fax_number": "787-954-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAS",
        "first_name": "LUIS",
        "middle_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "5047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "6090029",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "26061",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLAN MENONITA",
            "identifier": "M0247",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "26061",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "400012",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CRUZ AZUL DE P.R.",
            "identifier": "063965",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Carlene Marie Cadiz Fuentes, MD
• Yaribell Camacho-Rodriguez, MSW
• Miguel Caraballo de Leon, RBT
• Anibal J. Caraballo Sr., PHARMD
• Carattini Critical Care LLC
• Nitza Camacho Carattini, M.A.C.
• Nelson H Cardenales, AU.D.

• All providers in Aibonito, PR
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.