Organization Active NPI

Lionfish Medical Clinic PSC

  • General Practice Physician
  • Isabela, PR
National Provider Identifier
1184005753
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14494 Issued in PR
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

Updated by the provider on Jun 9, 2015

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.NPI 1902871122
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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.