Individual provider Active NPI

Luis D Llins Mazorra

  • Registered Nurse
  • San Juan, PR
National Provider Identifier
1609171214
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
34046 Issued in PR
Practice address
Urbanizacion El Vedado. Hato Rey
Bonafoux # 424
San Juan, PR 00918-3043
Phone
(786) 306-7724
NPI assigned
Jan 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 34046 PR Primary

Addresses

Primary practice location

Urbanizacion El Vedado. Hato Rey
Bonafoux # 424
San Juan, PR 00918-3043

Mailing address

424 Calle Bonafoux
Urbanizacion El Vedado. Hato Rey
San Juan, PR 00918-3043
Phone (786) 306-7724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34046PRMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1609171214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 CALLE BONAFOUX",
            "address_2": "URBANIZACION EL VEDADO. HATO REY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183043",
            "telephone_number": "786-306-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANIZACION EL VEDADO. HATO REY",
            "address_2": "BONAFOUX # 424",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183043",
            "telephone_number": "786-306-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLINS MAZORRA",
        "first_name": "LUIS",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "34046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.