Individual provider Active NPI

Lysander Borrero, M.D.

  • General Practice Physician
  • Guayama, PR
National Provider Identifier
1184628836
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9397 Issued in PR
Practice address
Ave. Ashfort-Urb. Gibraltar #1 Oficina-3(Bajos)
Ave. Ashfort-Urb. Gibraltar #1 Oficina-3(Bajos)
Guayama, PR 00784
Phone
(787) 864-6898
Fax
(787) 864-6895
NPI assigned
Jun 10, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 9397 PR Primary

Addresses

Primary practice location

Ave. Ashfort-Urb. Gibraltar #1 Oficina-3(Bajos)
Ave. Ashfort-Urb. Gibraltar #1 Oficina-3(Bajos)
Guayama, PR 00784

Mailing address

PO Box 817
Guayama, PR 00785
Phone (787) 929-1833

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
I20120726000064 PR Practitioner - General Practice 6608032313 Reassigns benefits to 1 organization
Practice locations: Guayama, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gobierno Municipal de CayeyGroup PAC ID 8628073533, 4 clinicians

Practice addresses (Care Compare)

174 Calle Luis Barreras S
Cayey, PR 00736-4615
Phone (787) 738-3011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9397PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gobierno Municipal de Cayey CurrentSince May 8, 2018 Accepting new patients
Gobierno Municipal de Cayey CurrentSince May 8, 2018 Accepting new patients

Locations

174 Calle Luis Barreras S
Cayey, PR 00736
Phone (787) 263-0966

Interoperability endpoints

  • Direct secure messaging: lysander.borrero.p1@direct.vitacare.nextgenshare.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184628836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 817",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00785",
            "telephone_number": "787-929-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. ASHFORT-URB. GIBRALTAR #1 OFICINA-3(BAJOS)",
            "address_2": "AVE. ASHFORT-URB. GIBRALTAR #1 OFICINA-3(BAJOS)",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-864-6898",
            "fax_number": "787-864-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRERO",
        "first_name": "LYSANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2026-07-13",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.