Organization Active NPI

Llibott Consultorios Medicos- WS,PLLC

Doing business as Llibott Consultorios Medicos

  • Primary Care Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1487030060
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LLIBOTT CONSULTORIOS MEDICOS- WS,PLLC
Doing business as
Llibott Consultorios Medicos
Practice address
1145 Silas Creek Pkwy
Winston Salem, NC 27127
Phone
(336) 792-1519
NPI assigned
Aug 5, 2015
Last updated
May 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Carolina Asurza
Title
Office Manager
Phone
(336) 792-1519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

1145 Silas Creek Pkwy
Winston Salem, NC 27127

Mailing address

1145 Silas Creek Pkwy
Winston Salem, NC 27127-5627
Phone (336) 792-1515

Other names 1

  • Llibott Consultorios Medicos Doing business as

National Provider Directory

National Provider Directory

Locations

421 Chapanoke Rd
Ste 116
Raleigh, NC 27603
Phone (336) 515-1173

1145 Silas Creek Pkwy
Winston Salem, NC 27127
Phone (336) 792-1515

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11975/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 9

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": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1487030060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271275627",
            "telephone_number": "336-792-1515",
            "fax_number": "336-792-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27127",
            "telephone_number": "336-792-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLIBOTT CONSULTORIOS MEDICOS- WS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "ASURZA",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-792-1519"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Llibott Consultorios Medicos",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Llibott Consultorios Medicos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.