Active NPI
Lionfish Medical Clinic PSC
- General Practice Physician
- Isabela, PR
National Provider Identifier
1184005753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14494
- Legal business name
- LIONFISH MEDICAL CLINIC PSC
- Practice address
- 52 Ave Jose C Barbosa
Isabela, PR 00662 - Phone
- (787) 830-0211
- Fax
- (787) 609-6054
- NPI assigned
- Jun 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Luis Enrique Prats, M.D.
- Title
- President, Treasurer
- Phone
- (787) 830-0211
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 14494 | PR | Primary |
Addresses
Primary practice location
52 Ave Jose C Barbosa
Isabela, PR 00662
Mailing address
PO Box 1092
Rincon, PR 00677-1092
Phone (787) 830-0211
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Rincon, PR
- NPI 1902871122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433808000000",
"number": "1184005753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1092",
"city": "RINCON",
"state": "PR",
"postal_code": "006771092",
"telephone_number": "787-830-0211",
"fax_number": "787-609-6054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 AVE JOSE C BARBOSA",
"city": "ISABELA",
"state": "PR",
"postal_code": "00662",
"telephone_number": "787-830-0211",
"fax_number": "787-609-6054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIONFISH MEDICAL CLINIC PSC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-09",
"last_updated": "2015-06-09",
"status": "A",
"authorized_official_last_name": "PRATS",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "ENRIQUE",
"authorized_official_title_or_position": "PRESIDENT, TREASURER",
"authorized_official_telephone_number": "787-830-0211",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "PR",
"license": "14494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Isabela, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.