Lellanes Justiz Hernandez

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000989 Issued in PR

Practice address

396 Calle Dr Luis F Sala Urb Industrial Reparada
Ponce, PR 00716

Phone

(787) 840-2575

NPI assigned

Jul 29, 2024

Sex

Female

Sole proprietor

Yes

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": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1114756111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 CALLE DR LUIS SALA URB INDUSTRIAL REPARADA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 CALLE DR LUIS F SALA URB INDUSTRIAL REPARADA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-840-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTIZ HERNANDEZ",
        "first_name": "LELLANES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "000989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelene M Jusino Colon
• Edwin Jusino Quinones, OD
• Alejandra Jusino Torres
• Marcos Antonio Justinano, MD
• Lizbette Justiniano, M. D.
• Llanilys Justiz Hernandez, M.D.
• K&P Medical Supply Distributors, Corp
• Kartal Med Services
• Sayyada Kazim
• John Bryan Kelly Moreno

• Medical Physician Assistant in Ponce, PR
• Providers in Ponce, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.