Individual provider Active NPI

Keddie Sanchez Lamboy, MD, MBA

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1356019947
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22497 Issued in PR
Practice address
Perea Hospital
Calle Basora 15 N
Mayaguez, PR 00680-0068
Phone
(787) 675-9443
NPI assigned
Aug 31, 2021
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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 22497 PR Primary

Addresses

Primary practice location

Perea Hospital
Calle Basora 15 N
Mayaguez, PR 00680-0068

Mailing address

15 Calle Dr Basora N
Mayaguez, PR 00680-4833
Phone (787) 834-0101

Other names 1

  • Dr. Keddie Sanchez Lamboy Other name

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
I20220930001446 PR Practitioner - General Practice 6002292851 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Hospital Inc Current Accepting new patients
Bella Vista Hospital, Inc CurrentSince Sep 1, 2022 Accepting new patients
Physician Healthcare Administration LLC CurrentSince Mar 20, 2023 Accepting new patients
Bella Vista Hospital, Inc CurrentSince Sep 1, 2022 Accepting new patients
Integrated Health Management LLC Past Accepting new patients

Locations

15 Calle Dr Basora N
Mayaguez, PR 00680
Phone (787) 342-6120

H14 Calle 1
Vega Baja, PR 00693
Phone (787) 855-5493

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1356019947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CALLE DR BASORA N",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804833",
            "telephone_number": "787-834-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PEREA HOSPITAL",
            "address_2": "CALLE BASORA 15 N",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006800068",
            "telephone_number": "787-675-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ LAMBOY",
        "first_name": "KEDDIE",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEDDIE",
            "last_name": "SANCHEZ LAMBOY",
            "prefix": "DR.",
            "credential": "MD, MBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.