NPIMap

Organization Active NPI

LRC Medical Professional Services LLC

  • Primary Care Clinic/Center
  • Aibonito, PR
National Provider Identifier
1558748798
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
5047 Issued in PR
Legal business name
LRC MEDICAL PROFESSIONAL SERVICES LLC
Practice address
5 Calle Geronimo Martinez
Aibonito, PR 00705-3660
Phone
(787) 735-7859
Fax
(787) 954-7501
NPI assigned
Apr 27, 2015
Last updated
Apr 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Dr. Luis Roberto Canas, MDNPI 1790780914
Title
President
Phone
(787) 735-7859

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
Primary Care Clinic/Center 261QP2300X 5047 PR Primary

Addresses

Primary practice location

5 Calle Geronimo Martinez
Aibonito, PR 00705-3660

Mailing address

PO Box 2000
Aibonito, PR 00705-2000
Phone (787) 735-7859

Other names 1

  • LRC MEDICAL PROFESSIONAL SERVICES LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

5 Calle Geronimo Martinez
Aibonito, PR 00705
Phone (787) 735-7859

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1558748798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2000",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007052000",
            "telephone_number": "787-735-7859",
            "fax_number": "787-954-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE GERONIMO MARTINEZ",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007053660",
            "telephone_number": "787-735-7859",
            "fax_number": "787-954-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LRC MEDICAL PROFESSIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "CANAS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-735-7859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "5047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LRC MEDICAL PROFESSIONAL SERVICES LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Aibonito, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.