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DR. RICARDO JESUS REINA-SANABRIA MD
NPI 1992782551
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in San Juan, PR

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment
576 AVE CESAR GONZALEZ, SUITE 506 DORAL BANK CENTER, SAN JUAN, PR 00917(787) 772-1007(787) 772-1009 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ricardo Jesus Reina-sanabria Md NPPES

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

DR. RICARDO JESUS REINA-SANABRIA MD (NPI 1992782551) is an individual adult reconstructive orthopaedic surgery provider in San Juan, Puerto Rico, licensed in Puerto Rico (13805) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Community Hosp, and maintains a secondary practice location in San Juan.

NPPES Registry Identity

NPI1992782551
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameDR. RICARDO JESUS REINA-SANABRIACredential: MD
Location Address576 AVE CESAR GONZALEZ, SUITE 506 DORAL BANK CENTERSan Juan, PR 00917-5022
Mailing Address100 Grand Blvd Paseos, Suite 112 Msc 313San Juan, PR 00926-5955 · (787) 287-4938
Phone(787) 772-1007
Fax(787) 772-1009
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateDecember 27, 2005
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 14, 2024
✔ NPI 1992782551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License✔ Licensed in PR · 13805
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Secondary Practice Location 1

Location 1Torre Medica Auxilio Mutuo, 735 Ave Ponce de Leon Suite 519San Juan, PR 00917 · Phone (787) 772-1007

Other Identifiers 7

Other1989PR · Preferred Medicare Choice
Other2002639PR · Acaa
Other9170108PR · Humana Health
Other062032PR · Cruz Azul
Other13713805PR · Global Health
Other20980REPR · Sss
Other9170108PR · Humana Insurance

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

Dr. Ricardo Jesus Reina-sanabria 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 ID3476451980
PECOS Enrollment IDI20031222000497
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.
217 services139 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.
58 services58 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
53 services52 patients
Incision of knee joint with removal of cartilage of front or back of knee 27334
This procedure involves making an incision in the knee joint to remove damaged cartilage from the front or back of the knee. It helps alleviate pain and improve mobility. The process is performed under anesthesia, ensuring patient comfort throughout.
35 services35 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.
17 services12 patients
Release of ligaments of knee joint 27425
The release of ligaments in the knee joint is a surgical procedure aimed at improving mobility and reducing pain. It involves making small incisions to loosen or lengthen tight ligaments, helping your knee move more freely and comfortably.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Presbyterian Community Hosp

Acute Care Hospitals · San Juan, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400001
Location1451 Ashford AvenueSan Juan, PR 00907 · San Juan County
Emergency services

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

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
71%108 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
30%2,009 patients2/55-star benchmark: 99%
Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%80 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%2,009 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
54%2,009 patients4/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Walker, folding (pickup), adjustable or fixed height E0135
DME-Other DME · category DE000N
3 suppliers41 claims41 services$69.37 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
3 suppliers42 claims42 services$91.32 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 Ricardo Reina-sanabria's NPI number?

The NPI number for Ricardo Reina-sanabria is 1992782551. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Ricardo Reina-sanabria located?

Ricardo Reina-sanabria practices at 576 Ave Cesar Gonzalez Suite 506 Doral Bank Center, San Juan, PR 00917. The listed phone number is (787) 772-1007.

What is Ricardo Reina-sanabria's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Ricardo Reina-sanabria enrolled in Medicare?

Yes. Ricardo Reina-sanabria 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 Ricardo Reina-sanabria affiliated with any hospitals?

According to CMS data, Ricardo Reina-sanabria is affiliated with Presbyterian Community Hosp and Auxilio Mutuo Hospital.

When was this NPI record last updated?

The NPPES record for Ricardo Reina-sanabria was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.