NPIMap

Organization Active NPI

Lba Medical Services Inc

Doing business as Grupo Medico San Gerardo

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1144224874
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
87071 Issued in PR
Legal business name
LBA MEDICAL SERVICES INC
Doing business as
Grupo Medico San Gerardo
Practice address
145 Calle Guaraguao
San Juan, PR 00926-7101
Phone
(787) 760-6604
Fax
(787) 292-0130
NPI assigned
Jun 10, 2005
Last updated
Apr 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Authorized official

Name
Dr. Lorenzo E Bosque, MD
Title
Medical Director
Phone
(787) 760-6604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 87071 PR Primary

Addresses

Primary practice location

145 Calle Guaraguao
San Juan, PR 00926-7101

Mailing address

145 Calle Guaraguao
San Juan, PR 00926-7101
Phone (787) 760-6604

Other names 1

  • GRUPO MEDICO SAN GERARDO Doing business as

National Provider Directory

National Provider Directory

Locations

28 Calle Munoz Rivera
Trujillo Alto, PR 00976
Phone (786) 473-8246

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1144224874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CALLE GUARAGUAO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267101",
            "telephone_number": "787-760-6604",
            "fax_number": "787-292-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CALLE GUARAGUAO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267101",
            "telephone_number": "787-760-6604",
            "fax_number": "787-292-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LBA MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "BOSQUE",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-760-6604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "87071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRUPO MEDICO SAN GERARDO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 5, 2013; 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.