NPIMap

Organization Active NPI

Prestige Medical Group Ljcpsc

  • Anesthesiology Physician
  • San Juan, PR
National Provider Identifier
1437332624
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4863 Issued in PR
Legal business name
PRESTIGE MEDICAL GROUP LJCPSC
Practice address
Monteheidra Town Ctr
Guaraguao 145
San Juan, PR 00926-7007
Phone
(787) 760-6604
Fax
(787) 292-0130
NPI assigned
Dec 11, 2007
Last updated
Apr 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Dr. Lorenzo E Bosque, MD
Title
President
Phone
(787) 760-6604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 4863 PR Primary

Addresses

Primary practice location

Monteheidra Town Ctr
Guaraguao 145
San Juan, PR 00926-7007

Mailing address

Montehiedra
Guaraguao 145
San Juan, PR 00926
Phone (787) 760-6604

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1437332624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MONTEHIEDRA",
            "address_2": "GUARAGUAO 145",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-760-6604",
            "fax_number": "787-292-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MONTEHEIDRA TOWN CTR",
            "address_2": "GUARAGUAO 145",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267007",
            "telephone_number": "787-760-6604",
            "fax_number": "787-292-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE MEDICAL GROUP LJCPSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "BOSQUE",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-760-6604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "4863",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 3, 2008; 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.