Legacy Skill Nursing L.L.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LEGACY SKILL NURSING L.L.C.

Practice address

908 Calle Victoria
Bario Tejas
Humacao, PR 00791

Phone

(787) 719-7878

NPI assigned

Mar 5, 2019

Organization subpart

No

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

Authorized official

Name

Javie Lopez

Title

President

Phone

(787) 607-2574

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1104384510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007710246",
            "telephone_number": "787-719-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 CALLE VICTORIA",
            "address_2": "BARIO TEJAS",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-719-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY SKILL NURSING L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JAVIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-607-2574"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DEPARTMENT",
            "identifier": "417856",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Ramon Lebron, D.M.D.
• Maria I Lebron, PSY.D.
• Simon Lebron, RPH
• Yairi A Lebron, RPH
• Yelitza Gonzalez Lebron, M.PSY
• Chanel H Leon, F.T.
• Life Force Chiropractors, L.L.C.
• Logus Inc
• Beverly Charleene Lopez Cancel, PHD
• Carmen Antonia Lopez Diaz, MD

• All providers in Humacao, PR
• Skilled Nursing Facility in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.