Ismael Angel Landron, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

12408 Issued in PR

Practice address

100 Carr 2
Vega Alta, PR 00692-9902

Phone

(787) 210-5473

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1609082395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 948744",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006948743",
            "telephone_number": "787-210-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CARR 2",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006929902",
            "telephone_number": "787-210-5473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Carr 698",
            "address_purpose": "LOCATION",
            "city": "Dorado",
            "state": "PR",
            "postal_code": "006463316",
            "country_code": "US",
            "telephone_number": "787-210-5473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRON",
        "first_name": "ISMAEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME74476",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "12408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Luis M Rivera
• Laboratorio Clinico Plaza del Mar Inc
• Laboratorio Clinico Vega Alta
• Laboratorio Teresita
• Angel L Landron-Landron, BS, LND, DE
• Alma Latoni Benedetti, OD
• Angel Luis Laureano-Vega, LICENCED OPTICIAN
• Frank Lopez Vizcarrondo
• Gerardo Jose Lopez-Cepero, MD
• Ivalena Marie Lopez

• Physical Medicine & Rehabilitation Physician in Vega Alta, PR
• Providers in Vega Alta, PR by specialty
• Physical Medicine & Rehabilitation Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.