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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LUIS ALBERTO RIOS MD
NPI 1346206182
Orthopaedic Surgery in San Juan, PR

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
AVE PONCE DE LEON #1507, SUITE 1-C PDA 22, SAN JUAN, PR 00910(787) 725-3555(787) 723-6866 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Luis Alberto Rios Md NPPES

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

LUIS ALBERTO RIOS MD (NPI 1346206182) is an individual orthopaedic surgery provider in San Juan, Puerto Rico, licensed in Puerto Rico (13680) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Pavia Santurce, and is a graduate of University Central Del Caribe Escuela De Medicina (1996).

NPPES Registry Identity

NPI1346206182
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameLUIS ALBERTO RIOSCredential: MD
Location AddressAVE PONCE DE LEON #1507, SUITE 1-C PDA 22San Juan, PR 00910
Mailing AddressPo Box 19297San Juan, PR 00910 · (787) 725-3555 · Fax (787) 723-6866
Phone(787) 725-3555
Fax(787) 723-6866
Sole ProprietorNo
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 1996
Enumeration DateApril 21, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1346206182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in PR · 13680
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

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 Alberto Rios Md 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 ID5092967943
PECOS Enrollment IDI20121129000082
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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services31 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
41 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
41 services41 patients
Harvest of graft from large bone 20902
Harvest of graft from large bone is a medical procedure where a small piece of bone is taken from a larger bone in your body. This bone graft is then used to help repair or rebuild another area where bone is damaged or missing, promoting healing and growth.
16 services16 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Hospital Pavia Santurce

Acute Care Hospitals · San Juan, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400019
LocationStreet Profesor Augusto Rodriguez #1462San Juan, PR 00910 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00910 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
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
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 3

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

Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each E0973
DME-Wheelchairs · category DD021N
1 supplier13 claims26 services$8.52 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers24 claims30 services$28.43 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
3 suppliers24 claims30 services$12.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSE ROBERTO FUMERO MD
Orthopaedic Surgery
AVE PONCE DE LEON #1507, SUITE 1-C PDA 22
SAN JUAN, PR 00910
San Juan Municipio (787) 725-3555
PABLO VLADIMIR MARRERO MD
Orthopaedic Surgery
AVE PONCE DE LEON #1507, SUITE 1-C PDA 22
SAN JUAN, PR 00910
San Juan Municipio (787) 725-3555

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 Rios's NPI number?

The NPI number for Luis Rios is 1346206182. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Luis Rios located?

Luis Rios practices at Ave Ponce De Leon #1507 Suite 1-C Pda 22, San Juan, PR 00910. The listed phone number is (787) 725-3555.

What is Luis Rios's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Luis Rios enrolled in Medicare?

Yes. Luis Rios 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 Rios affiliated with any hospitals?

According to CMS data, Luis Rios is affiliated with Hospital Pavia Santurce.

When was this NPI record last updated?

The NPPES record for Luis Rios was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.