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LUIS A SANMIGUEL M.D.
NPI 1164403077
Internal Medicine - Nephrology in Carolina, PR

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment
CARR.#3 KM8.4 PASEO DEL PRADO SC, SUITE 200, CAROLINA, PR 00987(787) 710-2532(787) 750-2830 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Luis A Sanmiguel M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUIS A SANMIGUEL M.D. (NPI 1164403077) is an individual nephrology provider in Carolina, Puerto Rico, licensed in Puerto Rico (11721) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Auxilio Mutuo Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1164403077
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameLUIS A SANMIGUELCredential: M.D.
Location AddressCARR.#3 KM8.4 PASEO DEL PRADO SC, SUITE 200Carolina, PR 00987
Mailing AddressPmb 208 Pobox 2500Trujillo Alto, PR 00977-2500 · (787) 710-2532 · Fax (787) 750-2830
Phone(787) 710-2532
Fax(787) 750-2830
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateNovember 8, 2005
Last NPPES UpdateJuly 23, 2013
✔ NPI 1164403077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PR · 11721
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
CARR.#3 KM8.4 PASEO DEL PRADO SC, Carolina, PR 00987
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Other Identifiers 1

Medicare UPING42496PR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luis A Sanmiguel M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890694715
PECOS Enrollment IDI20040108000582
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
48 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services11 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Auxilio Mutuo Hospital

Acute Care Hospitals · San Juan, PR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number400016
LocationPonce De Leon Avenue 735 Stop 37 1/2San Juan, PR 00918 · San Juan County
Emergency services

Centro Cardiovascular

Acute Care Hospitals · Rio Piedras, PR
OwnershipGovernment - State
CMS Certification Number400124
LocationAvenida Americo Miranda, Entrada Principal CmRio Piedras, PR 00936 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00987 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers56 claims6,030 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims1,950 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers16 claims3,060 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims2,880 services$0.98 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers19 claims19 services$17.92 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers72 claims95 services$12.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Sanmiguel's NPI number?

The NPI number for Luis Sanmiguel is 1164403077. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Luis Sanmiguel located?

Luis Sanmiguel practices at Carr.#3 Km8.4 Paseo Del Prado Sc Suite 200, Carolina, PR 00987. The listed phone number is (787) 710-2532.

What is Luis Sanmiguel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Luis Sanmiguel enrolled in Medicare?

Yes. Luis Sanmiguel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Luis Sanmiguel affiliated with any hospitals?

According to CMS data, Luis Sanmiguel is affiliated with Auxilio Mutuo Hospital and Centro Cardiovascular.

When was this NPI record last updated?

The NPPES record for Luis Sanmiguel was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.