Lila E Manzano Rodriguez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22958 Issued in PR

Practice address

550S Calle Concepcion Vera Ayala
Carr 110 KM 12.2
Moca, PR 00676-5005

Phone

(787) 877-8000

NPI assigned

Aug 18, 2022

Last updated

Sep 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrate Community Health System

  dba Metro Pavia Clinic Humacao

  • Community Health Clinic/Center
  • Humacao, PR
  • NPI 1467674713
  Medicare reassignment NPD
• Metro Pavia Healthcare Centers Inc

  • Radiology Clinic/Center
  • Arecibo, PR
  • NPI 1760723696
  Medicare reassignment NPD
• Integrate Community Health System

  dba Metro Pavia Clinic Guayama

  • Emergency Care Clinic/Center
  • Guayama, PR
  • NPI 1861851198
  NPD
• Integrate Community Health System, Inc.

  dba Metro Pavia Clinic Aguadilla - Lab

  • Clinical Medical Laboratory
  • Aguadilla, PR
  • NPI 1821502519
  NPD
• Metro Pavia Healthcare Center

  dba Metro Pavia Clinic Bella Vista

  • Clinical Medical Laboratory
  • Bayamon, PR
  • NPI 1841694072
  NPD
• Metro Pavia Healthcare Centers Inc

  • Multi-Specialty Clinic/Center
  • Arecibo, PR
  • NPI 1104166750
  NPD
• De Jesus & Matos Medical Imaging Professionals, PSC

  • Diagnostic Radiology Physician
  • Moca, PR
  • NPI 1548713647
  NPD (past)

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1629796461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4756",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054756",
            "telephone_number": "787-404-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550S CALLE CONCEPCION VERA AYALA",
            "address_2": "CARR 110 KM 12.2",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006765005",
            "telephone_number": "787-877-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZANO RODRIGUEZ",
        "first_name": "LILA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Francisco Luna, PSYD
• M del Mar Labs Inc (Laboratorio Clinico Marina)
• Marlene Machado
• Major League Critical Transport Inc
• Nicole Ichelle Maldonado, BSN
• Izlia I Marquez, RPH
• Luis Marrero Soto Sr.
• Lymaris Marrero
• Yaritza Martir
• Maria Isabel Matias Vega

• General Practice Physician in Moca, PR
• Providers in Moca, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.