Organization Active NPI

Lazaro Orthopedics LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Juan, PR
National Provider Identifier
1013682988
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
LAZARO ORTHOPEDICS LLC
Practice address
1665 Ave VCTR Labiosa Ste 106
San Juan, PR 00926-4149
Phone
(787) 223-9160
NPI assigned
Aug 12, 2021
Last updated
Jun 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lionel Enrique Lazaro Collazo, MD
Title
Orthopedic Surgeon
Phone
(787) 565-8562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

1665 Ave VCTR Labiosa Ste 106
San Juan, PR 00926-4149

Mailing address

300 Ave la Sierra
Box 187 R-8
San Juan, PR 00926
Phone (787) 223-9160

Other identifiers 1

IdentifierTypeStateIssuer
1679731657OtherINDIVIDUAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EMR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210923001685 PR Part B Supplier - Clinic/Group Practice 0446657084 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1013682988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AVE LA SIERRA",
            "address_2": "BOX 187 R-8",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-223-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 AVE VCTR LABIOSA STE 106",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264149",
            "telephone_number": "787-223-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZARO ORTHOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2022-06-06",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "LAZARO COLLAZO",
        "authorized_official_first_name": "LIONEL",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "787-565-8562",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1679731657",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "Workstation",
            "address_1": "1665 Ave Vctr Labiosa Ste 106",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009264149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.