Individual provider Active NPI

Luis Baerga-Varela, MD

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
National Provider Identifier
1831150614
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
15364 Issued in PR
Practice address
640 Ave Andalucia
San Juan, PR 00920-5311
Phone
(787) 461-1780
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 15364 PR Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 15364 PR

Addresses

Primary practice location

640 Ave Andalucia
San Juan, PR 00920-5311

Mailing address

2312 Calle Teniente Rivera
Urb Santa Tereita
San Juan, PR 00913-4530
Phone (787) 957-5553

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
I20041014000698 PR Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 7719889716 Reassigns benefits to 2 organizations
Practice locations: Rio Piedras, PR; San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management, Pain Management
Education
Mayo Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prspi, PSCGroup PAC ID 4789824723, 3 clinicians
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

640 Ave Andalucia
San Juan, PR 00920-5311
Phone (787) 957-5553

Suite 200 Centro Comercial Reparto Me
Ave. Americo Miranda
Rio Piedras, PR 00921
Phone (787) 758-7910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15364PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Physical Medicine & Rehabilitation CurrentSince Sep 2, 2004 Accepting new patients
Prspi, PSC Physical Medicine & Rehabilitation CurrentSince Mar 6, 2013 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Sep 2, 2004 Accepting new patients
Carlos a. Falcon Physical Medicine & Rehabilitation Past Accepting new patients

Locations

640 Ave Andalucia
San Juan, PR 00920
Phone (787) 461-1780

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1831150614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 CALLE TENIENTE RIVERA",
            "address_2": "URB SANTA TEREITA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009134530",
            "telephone_number": "787-957-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 AVE ANDALUCIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009205311",
            "telephone_number": "787-461-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAERGA-VARELA",
        "first_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "15364",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PR",
            "license": "15364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.