Active NPI
Arnaldo Enrique Lasa Imbert, M.D.
- Gastroenterology Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 17105
- Practice address
- 735 Ave Ponce de Leon Ste 605
San Juan, PR 00917-5028 - Phone
- (787) 282-6301
- NPI assigned
- Jun 26, 2007
- Last updated
- Jul 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17105 | PR | |
| Gastroenterology Physician | 207RG0100X | 17105 | PR | Primary |
Addresses
Primary practice location
735 Ave Ponce de Leon Ste 605
San Juan, PR 00917-5028
Mailing address
J15 Ave San Patricio
Portales de San Patricio Apt. 606
Guaynabo, PR 00968-4505
Phone (787) 793-6540
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University Central del Caribe Escuela de Medicina, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Ave Fragoso
3FS2 Villa Fontana
Carolina, PR 00985
Phone (787) 257-1250
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 199 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 90 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17105 | PR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. | Current | Accepting new patients | |
| Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. | Current | Accepting new patients | |
| Gastro Metabolic Services PSC | Past | Accepting new patients |
Locations
715 Ave Ponce de Leon
Stop 375
San Juan, PR 00917
Phone 7877582000 ext. 3216
Organizations & group practices 3
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.
-
dba Grupo Centro de Cancer Auxilio Mutuo
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- San Juan, PR
- NPI 1376561522
-
- Rehabilitation Clinic/Center
- San Juan, PR
- NPI 1992369615
-
- Endocrinology, Diabetes & Metabolism Physician
- San Juan, PR
- NPI 1174628697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310515200000",
"number": "1801092671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "J15 AVE SAN PATRICIO",
"address_2": "PORTALES DE SAN PATRICIO APT. 606",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009684505",
"telephone_number": "787-793-6540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 AVE PONCE DE LEON STE 605",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009175028",
"telephone_number": "787-282-6301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASA IMBERT",
"first_name": "ARNALDO",
"middle_name": "ENRIQUE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2011-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "17105",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PR",
"license": "17105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Roseline Larsen
- Las Lomas Laboratory Inc.
- Las Lomas Medical Group CSP (centro medico las lomas)
- Las Lomas Medical Group CSP (centro medico las lomas)
- Las Lomas Medical Group CSP (centro medico las lomas)
- Laser Dental Centers,CSP
- Carla Victoria Lassalle
- Carmen Lassus
- Rafael Lastra, M.D.
- Liselle Lathroum, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.