Individual provider Active NPI

Lillian J Borrego Conde, MD

  • Nephrology Physician
  • San Juan, PR
National Provider Identifier
1255417283
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
14700 Issued in PR
Practice address
Torre Auxilio Mutuo Suite 803
Ave Ponce de Leon 735
San Juan, PR 00917
Phone
(787) 998-3329
Fax
(787) 998-3339
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 14700 PR Primary

Addresses

Primary practice location

Torre Auxilio Mutuo Suite 803
Ave Ponce de Leon 735
San Juan, PR 00917

Mailing address

Pobox 13788
San Juan, PR 00908
Phone (787) 998-3329

Other practice location 1

Atlantis Toa Baja
Carr 164 Ave Comerio Norte 600
Toa Baja, PR 00949
Phone (787) 292-7979 ext. 5502

Other practice location 2

Centro de Dialisis Fresenius
Carr 164 Km 69, Barrio Achiote
Naranjito, PR 00719
Phone (787) 869-0622

Other practice location 3

Centro Medico Salinas, Barrio Playa Carr 701
Salinas, PR 00751
Phone (787) 824-4562

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
I20040225000423 PR Practitioner - NephrologyPractitioner - Internal Medicine 9436045671 Reassigns benefits to 1 organization
Practice locations: Guaynabo, PR; Toa Baja, PR; Naranjito, PR; San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

461 Calle Francia
San Juan, PR 00917-4204
Phone (787) 764-5640

735 Ave Ponce de Leon
San Juan, PR 00917-5022
Phone (787) 758-2000

Carr 164 KM
9 Fresenius Kidney Care
Naranjito, PR 00719
Phone (787) 869-0622

RR 3 Box
Suite 3860
San Juan, PR 00926-8313

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14700PRMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Cancer de la Universidad Nephrology CurrentSince Feb 20, 2021 Accepting new patients

Organizations & group practices 1

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1255417283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POBOX 13788",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00908",
            "telephone_number": "787-998-3329",
            "fax_number": "787-998-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE AUXILIO MUTUO SUITE 803",
            "address_2": "AVE PONCE DE LEON 735",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-998-3329",
            "fax_number": "787-998-3339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Atlantis Toa Baja",
            "address_2": "Carr 164 Ave Comerio Norte 600",
            "address_purpose": "LOCATION",
            "city": "Toa Baja",
            "state": "PR",
            "postal_code": "00949",
            "country_code": "US",
            "telephone_number": "787-292-7979 x5502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Centro de Dialisis Fresenius",
            "address_2": "Carr 164 Km 69, Barrio Achiote",
            "address_purpose": "LOCATION",
            "city": "Naranjito",
            "state": "PR",
            "postal_code": "00719",
            "country_code": "US",
            "telephone_number": "787-869-0622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Centro Medico Salinas, Barrio Playa Carr 701",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "PR",
            "postal_code": "00751",
            "country_code": "US",
            "telephone_number": "787-824-4562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORREGO CONDE",
        "first_name": "LILLIAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "14700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.