Life Medical Group

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

16002 Issued in PR

Legal business name

LIFE MEDICAL GROUP

Practice address

76 Calle Las Flores
Catano, PR 00962-4744

Phone

(787) 275-1859

NPI assigned

Dec 19, 2014

Last updated

Dec 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jose Luis Rocafort, M.D.

Title

President

Phone

(787) 361-3580

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

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.

• Jose L Rocafort Silva, M.D

  • General Practice Physician
  • Catano, PR
  • NPI 1699783274
  Medicare reassignment
• Ailed Morales-Batista

  • Physical Therapist
  • Catano, PR
  • NPI 1699887984
  NPD (past)

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1366840506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360402",
            "address_2": "SAN JUAN STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360402",
            "telephone_number": "787-275-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 CALLE LAS FLORES",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "009624744",
            "telephone_number": "787-275-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "ROCAFORT",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-361-3580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": "16002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Rios Corujo (Centro de Terapia Fisica de Catano)
• Julio Santos (Farmacia Sandin)
• Jyf Dental Clinic Inc (JYF Dental Clinic)
• Kci Medical Puerto Rico, Inc. (Solventum Advanced Wound Care Puerto Rico)
• Laboratorio Clinico Luzmar LLC Laboratorio Clinico Aymat
• Marisol Luna, TAC-III, TFC-III
• Yolanda Melendez Alers, DIETITIAN
• Evelyn Melendez, SW
• Rosa D Melendez
• Magdalena Mercado

• Health Service Clinic/Center in Catano, PR
• Providers in Catano, PR by specialty
• Health Service Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.