Marvalyn Cordero-Lanzar

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5688 Issued in PR

Practice address

Urb San Martin
Calle 2 Num 94
Patillas, PR 00723

Phone

(787) 839-8127

NPI assigned

Jul 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073710026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "007230456",
            "telephone_number": "787-460-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB SAN MARTIN",
            "address_2": "CALLE 2 NUM 94",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "00723",
            "telephone_number": "787-839-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO-LANZAR",
        "first_name": "MARVALYN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "5688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irma Leticia Collazo, X-RAY TECH
• Ketsy Ann Collazo
• Kiarahimar Colon-de Jesus
• Erialberto Colon-Soto
• Kirssis J Colon, PHARMACIST
• Jacqueline Correa, RN
• Jose Antonio Cortes, RN
• Crew Medical Transport System, Inc.
• Johanna Cruz Morales
• Omar F. Cruz Rosario

• General Practice Physician in Patillas, PR
• Providers in Patillas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.