Individual provider Active NPI

Doris Gisela Lasanta, M.D.

  • Family Medicine Physician
  • Caguas, PR
National Provider Identifier
1861415184
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16367 Issued in PR
Practice address
Calle 42 L1 Turabo Gardens V
Caguas, PR 00725
Phone
(786) 747-2883
Fax
(787) 747-2883
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16367 PR Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 16367 PR

Addresses

Primary practice location

Calle 42 L1 Turabo Gardens V
Caguas, PR 00725

Mailing address

Camino de Velarde NH25
Mansion del Norte
Toa Baja, PR 00949
Phone (787) 784-5284

Other identifiers 1

IdentifierTypeStateIssuer
16367OtherPRMEDICAL LICENSE

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
I20070216000321 PR Practitioner - Family PracticePractitioner - Geriatric Medicine 3072615392 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of Puerto Rico School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 Ave Gautier Benitez Consolidated
Suite 46 C 33B
Caguas, PR 00727
Phone (787) 747-2883

201 Ave Gautier Benitez Consolidated Mall
Suite 46 C 33B
Caguas, PR 00727

Urb la Esmeralda
Suite 16
Caguas, PR 00727

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1861415184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAMINO DE VELARDE NH25",
            "address_2": "MANSION DEL NORTE",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-784-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 42 L1 TURABO GARDENS V",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "786-747-2883",
            "fax_number": "787-747-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASANTA",
        "first_name": "DORIS",
        "middle_name": "GISELA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "16367",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "16367",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "16367",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.