Ian Mark Llaurador

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23975 Issued in PR

Practice address

Calle Sergio Cuevas Bustamante
San Juan, PR 00927

Phone

(787) 758-8383

NPI assigned

May 25, 2022

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1174261572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FM4 CALLE JOSE PH HERNANDEZ",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009492817",
            "telephone_number": "787-510-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SERGIO CUEVAS BUSTAMANTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-758-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLAURADOR",
        "first_name": "IAN",
        "middle_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis A Llanos, RN
• Virginia Llanos, R.N.
• Wanda I Llanos, RD
• Gretchen Marie Llaurador Ortiz
• Domingo Llaurador, RT
• Gabriela S Llenin Figueroa, PSYD
• Luis D Llins Mazorra
• Olga M Lliteras, MD
• Lliteras' Pediatric Group, PSC
• Antonio Carlos Llompart

• General Practice Physician in San Juan, PR
• Providers in San Juan, 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 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.