LS Radiantlife Health Services LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LS RADIANTLIFE HEALTH SERVICES LLC

Practice address

Urb Veve Calzada
Calle 3a O28
Fajardo, PR 00738

Phone

(939) 216-3292

NPI assigned

Jun 4, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Lin Margaret Chu Joy Davila, MD

Title

President

Phone

(939) 216-3292

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sebastian Alexis Bonilla Benitez, MD

  • General Practice Physician
  • Fajardo, PR
  • NPI 1235803586
  NPD

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1235970286",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PO BOX 1503",
            "city": "FAJARDO",
            "state": "PUERTO RICO",
            "postal_code": "00738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB VEVE CALZADA",
            "address_2": "CALLE 3A O28",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "939-216-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LS RADIANTLIFE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "CHU JOY DAVILA",
        "authorized_official_first_name": "LIN",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-216-3292",
        "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": []
}

• Jose Joaquin Lopez, MD
• Maria Lopez, REGISTER NURSE
• Sara Lopez, MD
• Lorena Vision Center Optometry
• Jose J Loyola, Martinez
• LS Trust Care Health Services LLC
• Lydia M. Lugo, MD
• Luis R Ordonez
• Lydia Garib Garcia
• O'Neilly Machado Ilarraza

• General Practice Physician in Fajardo, PR
• Providers in Fajardo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.