Organization Active NPI

Dra Lilliana Ramirez Garcia P.S.C.

  • Dermatology Physician
  • San Juan, PR
National Provider Identifier
1407223308
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
18264 Issued in PR
Legal business name
DRA LILLIANA RAMIREZ GARCIA P.S.C.
Practice address
735 Ave Ponce de Leon
Suite 209
San Juan, PR 00917-5022
Phone
(787) 763-6795
Fax
(787) 763-6789
NPI assigned
Aug 26, 2015
Last updated
Sep 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Authorized official

Name
Dr. Lilliana Maria Ramirez Garcia, M.D.NPI 1982937918
Title
Dermatologist
Phone
(787) 637-2468

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 18264 PR Primary

Addresses

Primary practice location

735 Ave Ponce de Leon
Suite 209
San Juan, PR 00917-5022

Mailing address

1357 Ashford Ave.
PMB 198
San Juan, PR 00907

Other identifiers 1

IdentifierTypeStateIssuer
IK538AOtherPRPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160108000289 PR Part B Supplier - Clinic/Group Practice 1850693888 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

735 Ave Ponce de Leon
Ste 209
San Juan, PR 00917
Phone (787) 637-2468

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": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1407223308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 ASHFORD AVE.",
            "address_2": "PMB 198",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "SUITE 209",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-763-6795",
            "fax_number": "787-763-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRA LILLIANA RAMIREZ GARCIA P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ GARCIA",
        "authorized_official_first_name": "LILLIANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "787-637-2468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PR",
            "license": "18264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "IK538A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.