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LUIS A COTTO SANTANA M.D.
NPI 1760747216
Internal Medicine - Hematology & Oncology in San Juan, PR

Active since July 11, 2012PECOS EnrolledAccepts Medicare Assignment
67.09/100
CMS Quality Rating
735 AVE PONCE DE LEON STE 701Y705, SAN JUAN, PR 00917(787) 758-6225 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2024, Jun 19, 2019, Nov 8, 2018 (3 updates tracked since 2018).

About Luis A Cotto Santana M.d. NPPES

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

LUIS A COTTO SANTANA M.D. (NPI 1760747216) is an individual hematology & oncology provider in San Juan, Puerto Rico, licensed in Puerto Rico (19027) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Auxilio Mutuo Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1760747216
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameLUIS A COTTO SANTANACredential: M.D.
Location Address735 AVE PONCE DE LEON STE 701Y705San Juan, PR 00917-5022
Mailing Address215 Sabanera Dorado, Camino Los AusubosDorado, PR 00646 · (787) 758-6225
Phone(787) 758-6225
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 11, 2012
Last NPPES UpdateJune 25, 20243 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1760747216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in PR · 19027
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 19027 (PR)

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 Cotto Santana 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 ID8628310166
PECOS Enrollment IDI20190501003411
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 4

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 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.
111 services58 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.
44 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
40 services40 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services27 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00917 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
$172.44 typical visit price
range $56.86 – $172.44
Typical copayment $43.11 (range $14.21 – $43.11)
Most-billed visit code 99205
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

67.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.73
Promoting Interoperability0
Improvement Activities40
Cost68.24

Other Providers at the Same Location NPPES

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

COTTO ONCOLOGY LLC
Internal Medicine (Hematology & Oncology)
735 AVE PONCE DE LEON STE 701Y705
SAN JUAN, PR 00917
San Juan Municipio (787) 758-6225

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 Cotto Santana's NPI number?

The NPI number for Luis Cotto Santana is 1760747216. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Where is Luis Cotto Santana located?

Luis Cotto Santana practices at 735 Ave Ponce De Leon Ste 701y705, San Juan, PR 00917. The listed phone number is (787) 758-6225.

What is Luis Cotto Santana's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Luis Cotto Santana enrolled in Medicare?

Yes. Luis Cotto Santana 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 Cotto Santana affiliated with any hospitals?

According to CMS data, Luis Cotto Santana is affiliated with Auxilio Mutuo Hospital.

When was this NPI record last updated?

The NPPES record for Luis Cotto Santana was last updated on June 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.