Organization Active NPI

LPR Professional Health Clinic Inc

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1356011175
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LPR PROFESSIONAL HEALTH CLINIC INC
Practice address
1518 NE Van Loon LN
Cape Coral, FL 33909-2798
Phone
(786) 597-4260
NPI assigned
Sep 14, 2021
Last updated
Sep 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Authorized official

Name
Lilliam Perez Rodriguez, APRNNPI 1417528415
Title
Aprn
Phone
(786) 597-4260

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1518 NE Van Loon LN
Cape Coral, FL 33909-2798

Mailing address

1518 NE Van Loon LN
Cape Coral, FL 33909-2798
Phone (786) 597-4260

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": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1356011175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 NE VAN LOON LN",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092798",
            "telephone_number": "786-597-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 NE VAN LOON LN",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092798",
            "telephone_number": "786-597-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LPR PROFESSIONAL HEALTH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "PEREZ RODRIGUEZ",
        "authorized_official_first_name": "LILLIAM",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "786-597-4260",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.