Organization Active NPI

Lifemd Puerto Rico Patient Medical Care P.C.

  • Clinic/Center
  • Guaynabo, PR
National Provider Identifier
1629895107
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LIFEMD PUERTO RICO PATIENT MEDICAL CARE P.C.
Practice address
7 Calle 1 Ste 400
Guaynabo, PR 00968-1760
Phone
(800) 852-1575
NPI assigned
Sep 25, 2024
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Eric Yecies
Title
General Counsel
Phone
(646) 263-3680

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU

Addresses

Primary practice location

7 Calle 1 Ste 400
Guaynabo, PR 00968-1760

Mailing address

236 5TH Ave Ste 400
New York, NY 10001-7606
Phone (800) 852-1575

National Provider Directory

National Provider Directory

Locations

7 Calle 1
Ste 400
Guaynabo, PR 00968

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1629895107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 5TH AVE STE 400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017606",
            "telephone_number": "800-852-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CALLE 1 STE 400",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009681760",
            "telephone_number": "800-852-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEMD PUERTO RICO PATIENT MEDICAL CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "YECIES",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "646-263-3680"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.