Individual provider Active NPI

Lourdes T. Rodriguez-Galarza, MD

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1164625539
Registry record updated Jun 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14895 Issued in PR
Practice address
90 Blvd Media Luna Apt 308
Carolina, PR 00987-4882
Phone
(787) 647-8991
Fax
(787) 276-2142
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14895 PR Primary
Prison Health Clinic/Center 261QP2400X 14895 PR

Addresses

Primary practice location

90 Blvd Media Luna Apt 308
Carolina, PR 00987-4882

Mailing address

90 Blvd Media Luna Apt 308
Paisajes del Escorial
Carolina, PR 00987-4882
Phone (787) 647-8991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031124000702 PR Practitioner - General Practice 7618871310 Practice locations: Carolina, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family & OB GYN Health Care Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435363200000",
    "number": "1164625539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BLVD MEDIA LUNA APT 308",
            "address_2": "PAISAJES DEL ESCORIAL",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009874882",
            "telephone_number": "787-647-8991",
            "fax_number": "787-276-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BLVD MEDIA LUNA APT 308",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009874882",
            "telephone_number": "787-647-8991",
            "fax_number": "787-276-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-GALARZA",
        "first_name": "LOURDES",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2015-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14895",
            "primary": true
        },
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "PR",
            "license": "14895",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.