Ligia Noemi Jordan, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10073 Issued in PR

Practice address

877 Carr KM1.6
Camino Las Lomas
San Juan, PR 00926-9767

Phone

(787) 760-0222

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Premium Professional Health Group PSC

  • Clinic/Center
  • Carolina, PR
  • NPI 1780902312
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467667089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360657",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009360657",
            "telephone_number": "787-502-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 CARR KM1.6",
            "address_2": "CAMINO LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269767",
            "telephone_number": "787-760-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "LIGIA",
        "middle_name": "NOEMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "10073",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Joglar, MS
• Joint Vita LLC
• Jomary Delgado Laboy
• John Alexander Jones, M.D.
• Edmundo J Jordan - Morey, MD
• Mario Juan Jorge Coriano, MD
• Jorge H Diaz Blanco
• Jorge Varela Dental Office
• Gabrielle Dominique Jorge, MD
• Jose de Jesus Dba Paseos Medical

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.