Organization Active NPI

R R LL Neurobehavioral and Medical Consultant CSP

  • Neurology Physician
  • San Juan, PR
National Provider Identifier
1235568726
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
14107 Issued in PR
Legal business name
R R LL NEUROBEHAVIORAL AND MEDICAL CONSULTANT CSP
Practice address
262 Calle Ing Ismael a Colon
San Juan, PR 00918-2802
Phone
(787) 754-7388
NPI assigned
Nov 5, 2013
Last updated
Apr 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
Dr. Reynaldo Rodriguez- Llauger, M.D.NPI 1851367122
Title
President
Phone
(787) 754-7388

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 14107 PR Primary
Clinical Neurophysiology Physician 2084N0600X 14107 PR
Psychiatry Physician 2084P0800X 14107 PR
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 14107 PR

Addresses

Primary practice location

262 Calle Ing Ismael a Colon
San Juan, PR 00918-2802

Mailing address

PO Box 193127
San Juan, PR 00919-3127
Phone (787) 754-7388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150818005640 PR Part B Supplier - Clinic/Group Practice 5294040358 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1235568726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193127",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193127",
            "telephone_number": "787-754-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 CALLE ING ISMAEL A COLON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182802",
            "telephone_number": "787-754-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R R LL NEUROBEHAVIORAL AND MEDICAL CONSULTANT CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ- LLAUGER",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-754-7388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "14107",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "PR",
            "license": "14107",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "14107",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "PR",
            "license": "14107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.