Luis M Siaca Colon, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

012479 Issued in PR

Practice address

Diaz Bretana Medical Building
Oficina 202
San Lorenzo, PR 00754

Phone

(787) 736-8265

Fax

(787) 736-8265

NPI assigned

Dec 5, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1972587707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHALETS DE BAIROA C/COLIBRI #96",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007271272",
            "telephone_number": "787-308-3602",
            "fax_number": "787-736-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DIAZ BRETANA MEDICAL BUILDING",
            "address_2": "OFICINA 202",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-736-8265",
            "fax_number": "787-736-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIACA COLON",
        "first_name": "LUIS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "012479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GLOBAL HEALTH",
            "identifier": "11912479",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria del Pilar Santiago Lavandier
• Jesus Enrique Selles, D.C.
• Yazmin Serrano Cintron, RPH
• Alfonso Serrano, MD
• Zuania M Serrano, MS-SLP
• SL Consult Medical PR
• Special Care Ambulance, Inc.
• Maria Catalina Suero Bonila, PHARMACIST TECH
• Keila E Toledo, PHARMD
• Lissete Tolentino Morales

• General Practice Physician in San Lorenzo, PR
• Providers in San Lorenzo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.

Verify at the official NPI Registry.