Individual provider Active NPI

Luis Alfredo Graulau Burgos, MD

  • Psychiatry Physician
  • Ponce, PR
National Provider Identifier
1992252589
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
22236 Issued in PR
Practice address
Urb Industrial Reparada #2 Calle Dr Luis F Sala 396
Ponce, PR 00716
Phone
(787) 812-2525
NPI assigned
Sep 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 22236 PR Primary

Addresses

Primary practice location

Urb Industrial Reparada #2 Calle Dr Luis F Sala 396
Ponce, PR 00716

Mailing address

PO Box 132
Coamo, PR 00769-0132
Phone (787) 677-2691

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
I20250619000776 PR Practitioner - Psychiatry 0840701488 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tiber Health, Public Benefit Corporation CurrentSince May 1, 2025 Accepting new patients
Tiber Health, Public Benefit Corporation CurrentSince May 1, 2025 Accepting new patients
Arist Medical Sciences University, Public Benefit Corporation Past Accepting new patients
First Hospital Panamericano Inc Past Accepting new patients

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1992252589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007690132",
            "telephone_number": "787-677-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB INDUSTRIAL REPARADA #2 CALLE DR LUIS F SALA 396",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-812-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAULAU BURGOS",
        "first_name": "LUIS",
        "middle_name": "ALFREDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "22236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.