Individual provider Active NPI

Lourdeliz Torres Rodriguez Sr., RN

  • General Practice Registered Nurse
  • Barranquitas, PR
National Provider Identifier
1649989088
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
78872 Issued in PR
Practice address
Carretera 772 KM 7.3 Interio Bo Canabon Sect Los Ramos
Barranquitas, PR 00794-0079
Phone
(787) 692-3372
NPI assigned
Nov 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 78872 PR Primary

Addresses

Primary practice location

Carretera 772 KM 7.3 Interio Bo Canabon Sect Los Ramos
Barranquitas, PR 00794-0079

Mailing address

HC 2 Box 7133
Barranquitas, PR 00794-9293
Phone (787) 692-3372

Other identifiers 1

IdentifierTypeStateIssuer
78872MedicaidPR

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NA Other

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
78872PRMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1649989088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 7133",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007949293",
            "telephone_number": "787-692-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 772 KM 7.3 INTERIO BO CANABON SECT LOS RAMOS",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007940079",
            "telephone_number": "787-692-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES RODRIGUEZ",
        "first_name": "LOURDELIZ",
        "name_prefix": "Mrs.",
        "name_suffix": "Sr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PR",
            "license": "78872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78872",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "NA",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "Carretera 772 Km 7.3 interio Bo Canabon Sect Los Ramos",
            "city": "Barranquitas",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007940079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barranquitas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.