Active NPI
LS Trust Care Health Services LLC
- General Practice Physician
- Fajardo, PR
National Provider Identifier
1235961004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- LS TRUST CARE HEALTH SERVICES LLC
- Practice address
- Urb. Veve Calzada Calle 3a O28
Fajardo, PR 00738 - Phone
- (787) 602-2923
- NPI assigned
- Aug 19, 2024
- 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. Sebastian Alexis Bonilla Benitez, MD
- Title
- President
- Phone
- (787) 602-2923
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 | Primary |
Addresses
Primary practice location
Urb. Veve Calzada Calle 3a O28
Fajardo, PR 00738
Mailing address
PO Box 1503
Fajardo, PR 00738-1503
Phone (787) 602-2923
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
- Fajardo, PR
- NPI 1235803586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724025600000",
"number": "1235961004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1503",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007381503",
"telephone_number": "787-602-2923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. VEVE CALZADA CALLE 3A O28",
"city": "FAJARDO",
"state": "PR",
"postal_code": "00738",
"telephone_number": "787-602-2923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LS TRUST CARE HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-19",
"last_updated": "2024-08-19",
"certification_date": "2024-08-15",
"status": "A",
"authorized_official_last_name": "BONILLA BENITEZ",
"authorized_official_first_name": "SEBASTIAN",
"authorized_official_middle_name": "ALEXIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-602-2923",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fajardo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.