Individual provider Active NPI

Luis Pena Figueroa, M.D.

  • General Practice Physician
  • Dorado, PR
National Provider Identifier
1982688776
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10005 Issued in PR
Practice address
155 Ave Dr Pedro Albizu Campos
Dorado, PR 00646-2419
Phone
(787) 796-7897
Fax
(787) 796-5163
NPI assigned
Dec 5, 2005
Last updated
Mar 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 10005 PR Primary

Addresses

Primary practice location

155 Ave Dr Pedro Albizu Campos
Dorado, PR 00646-2419

Mailing address

PO Box 563
Dorado, PR 00646-0563
Phone (787) 796-7897

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
I20140327000936 PR Practitioner - General Practice 5496986838 Reassigns benefits to 1 organization
Practice locations: Dorado, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

155 Ave Dr Pedro Albizu Campos
Dorado, PR 00646-2419
Phone (787) 796-7897

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10005PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Clinico del Norte Pena LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

155 Ave Dr Pedro Albizu Campos
Dorado, PR 00646
Phone (787) 796-7777

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1982688776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 563",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460563",
            "telephone_number": "787-796-7897",
            "fax_number": "787-796-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 AVE DR PEDRO ALBIZU CAMPOS",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006462419",
            "telephone_number": "787-796-7897",
            "fax_number": "787-796-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA FIGUEROA",
        "first_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

Verify at the official NPI Registry.