Organization Active NPI

LVS Family Medicine PSC

  • Family Medicine Physician
  • Ponce, PR
National Provider Identifier
1588959506
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13345 Issued in PR
Legal business name
LVS FAMILY MEDICINE PSC
Practice address
8133 Calle Concordia
Suite 202
Ponce, PR 00717-1543
Phone
(787) 843-1700
Fax
(787) 842-0900
NPI assigned
Jun 17, 2011
Last updated
May 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Mrs. Sheila M Loperena Montalban
Title
Administrative Assistant
Phone
(787) 843-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13345 PR Primary

Addresses

Primary practice location

8133 Calle Concordia
Suite 202
Ponce, PR 00717-1543

Mailing address

PO Box 5038
Ponce, PR 00733-5038
Phone (787) 843-1700

Other identifiers 1

IdentifierTypeStateIssuer
13,345OtherPRLICENSE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1588959506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5038",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007335038",
            "telephone_number": "787-843-1700",
            "fax_number": "787-842-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8133 CALLE CONCORDIA",
            "address_2": "SUITE 202",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171543",
            "telephone_number": "787-843-1700",
            "fax_number": "787-842-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LVS FAMILY MEDICINE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "LOPERENA MONTALBAN",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "787-843-1700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "13345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "13,345",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.