Luis A Sanmiguel, MD - Medicare Nephrology in Carolina, PR

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Luis A Sanmiguel, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Carolina, Puerto Rico. He graduated from medical school in 1990 and has 35 years of diverse experience with area of expertise as Nephrology. His current practice location is Carr.#3 Km8.4 Paseo Del Prado Sc, Suite 200, Carolina, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 710-2532.

Luis A Sanmiguel is licensed to practice in Puerto Rico (license number 11721) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164403077.

Contact Information

Luis A Sanmiguel, MD
Carr.#3 Km8.4 Paseo Del Prado Sc, Suite 200,
Carolina, PR 00987
(787) 710-2532
(787) 750-2830

Map and Direction




Physician's Profile

Full NameLuis A Sanmiguel
GenderMale
SpecialityNephrology
Experience35 Years
LocationCarr.#3 Km8.4 Paseo Del Prado Sc, Carolina, Puerto Rico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Luis A Sanmiguel graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1164403077
  • Provider Enumeration Date: 11/08/2005
  • Last Update Date: 07/23/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5890694715
  • Enrollment ID: I20040108000582

Medical Identifiers

Medical identifiers for Luis A Sanmiguel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164403077NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 11721 (Puerto Rico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Atlantis Health Care Group (puerto Rico), Inc.Carolina, PRDialysis facility
Centro CardiovascularRio piedras, PRHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Luis A Sanmiguel allows following entities to bill medicare on his behalf.
Entity NamePr Renal Health And Research Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083923114
PECOS PAC ID: 9739377862
Enrollment ID: O20101216000155

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Luis A Sanmiguel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Luis A Sanmiguel, MD
Pmb 208 Pobox 2500,
Trujillo Alto, PR 00977-2500

Ph: (787) 710-2532		Luis A Sanmiguel, MD
Carr.#3 Km8.4 Paseo Del Prado Sc, Suite 200,
Carolina, PR 00987

Ph: (787) 710-2532

Reviews and Comments


Internal Medicine Doctors in Carolina, PR

Dr. Luis R Lopez-ruyol, MD
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Dr. Hector Santos, M.D.
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Phone: 787-257-1511    Fax: 787-257-1881
Vanessa Velazquez, M.D.
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Phone: 787-750-0444    Fax: 787-750-0195
Dr. Monica Cespedes Santana, MD
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Practice Location: 4735 Ave Isla Verde Apt 5k, Carolina, PR 00979
Phone: 787-342-2784    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.