Individual provider Active NPI

Luis Javier Goveo Ortiz, MD

  • Physical Medicine & Rehabilitation Physician
  • Manati, PR
National Provider Identifier
1821025206
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
13010 Issued in PR
Practice address
Manati Medical Center
Calle Hernandez Carrion Urb Atenas
Manati, PR 00674
Phone
(787) 621-3700
Fax
(787) 621-3710
NPI assigned
Jun 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 13010 PR Primary

Addresses

Primary practice location

Manati Medical Center
Calle Hernandez Carrion Urb Atenas
Manati, PR 00674

Mailing address

425 Carr 693 PMB 103
Dorado, PR 00646
Phone (787) 310-9731

Other names 1

  • Dr. Luis J Goveo Other name

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
I20051004001128 PR Practitioner - Physical Medicine and Rehabilitation 4789619156 Reassigns benefits to 1 organization
Practice locations: Quebradillas, PR; Utuado, PR; Manati, PR; Coamo, PR; Barceloneta, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University Central del Caribe Escuela de Medicina, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JW Goveo PSC Medical ServicesGroup PAC ID 8729229349, 2 clinicians

Practice addresses (Care Compare)

Bo Cotto Norte Sector Campo Alegre Ca
Edif. Las Vegas Num. 420 Corporacion Las Ve
Manati, PR 00674
Phone (787) 854-1426

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13010PRMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J.W. Goveo P.S.C. Medical Services Physical Medicine & Rehabilitation CurrentSince Jun 21, 2013 Accepting new patients
Dorado Health Inc Past Accepting new patients
Maes Development, Inc Past Accepting new patients

Locations

425 Carr 693
Dorado, PR 00646
Phone (787) 310-9731

425 Carr 693
Ste 1
Dorado, PR 00646
Phone (787) 221-2751

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.

Hospital & facility affiliations 2

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821025206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CARR 693 PMB 103",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-310-9731",
            "fax_number": "787-796-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANATI MEDICAL CENTER",
            "address_2": "CALLE HERNANDEZ CARRION URB ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-621-3700",
            "fax_number": "787-621-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVEO ORTIZ",
        "first_name": "LUIS",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "13010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "GOVEO",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.