Individual provider Active NPI

Lorna L. De Jesus Cartagena

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1295952075
Registry record updated Aug 24, 2012
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Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13245 Issued in PR
Practice address
1669 Ave Americo Miranda
Urb. Las Lomas
San Juan, PR 00921-2429
Phone
(787) 706-1344
Fax
(787) 793-2308
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 13245 PR Primary

Addresses

Primary practice location

1669 Ave Americo Miranda
Urb. Las Lomas
San Juan, PR 00921-2429

Mailing address

PO Box 71325
Suite 164
San Juan, PR 00936-8425
Phone (787) 706-1344

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
I20040325000168 PR Practitioner - General Practice 4688566813 Practice locations: Rio Piedras, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13245PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cme&Lee Associates CSP Past Accepting new patients
CRM Group Practice Past Accepting new patients
Emergenciologos Para Puerto Rico,CSP Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345766400000",
    "number": "1295952075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71325",
            "address_2": "SUITE 164",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368425",
            "telephone_number": "787-706-1344",
            "fax_number": "787-793-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 AVE AMERICO MIRANDA",
            "address_2": "URB. LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009212429",
            "telephone_number": "787-706-1344",
            "fax_number": "787-793-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS CARTAGENA",
        "first_name": "LORNA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2012-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.