Luis T Boothby, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

5831 Issued in PR

Practice address

De Diego 14 E
Suite 103
Mayaguez, PR 00680

Phone

(787) 832-4416

Fax

(787) 832-4416

NPI assigned

Nov 17, 2005

Last updated

Oct 23, 2012By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1225010952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DE DIEGO 14 E",
            "address_2": "SUITE 103",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-832-4416",
            "fax_number": "787-832-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DE DIEGO 14 E",
            "address_2": "SUITE 103",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-832-4416",
            "fax_number": "787-832-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTHBY",
        "first_name": "LUIS",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "5831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BMR Critical Care, P.S.C.
• Jorge I Bonilla Argudo, D.M.D.
• Gisel Marie Bonilla Reyes, MD
• Ada N Bonilla, RN
• Jose Angel Bonilla
• Betsabe Borges, RD, LND
• Sindia Zachary Borrero
• Joadys Bosques Cordero
• Grisell Botti
• Bsimetriq

• Pediatrics Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.