Individual provider Active NPI

Lynette Sanchez

  • General Practice Physician
  • Utuado, PR
National Provider Identifier
1669240990
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23613 Issued in PR
Practice address
Carr 111 Int 602 KM 1.8 Barrio Angeles
Utuado, PR 00641
Phone
(787) 628-2650
NPI assigned
Dec 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Physician 208D00000X 23613 PR Primary

Addresses

Primary practice location

Carr 111 Int 602 KM 1.8 Barrio Angeles
Utuado, PR 00641

Mailing address

PO Box 1696
Utuado, PR 00641-1696
Phone (787) 628-2650

Other practice location 1

Carr. 129 Km 1.0
Ave. San Luis
Arecibo, PR 00613
Phone (787) 650-7274

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240709003699 PR Practitioner - General Practice 5496290942 Reassigns benefits to 4 organizations
Practice locations: Utuado, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc. General Practice CurrentSince Jun 26, 2024 Accepting new patients
Health Preventive and Emergency Services PSC CurrentSince Jun 26, 2024 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Jun 26, 2024 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Jun 26, 2024 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Jun 26, 2024 Accepting new patients

Locations

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

23 Calle Jose de Diego
Toa Alta, PR 00953
Phone (787) 870-0008

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1669240990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1696",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006411696",
            "telephone_number": "787-628-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 111 INT 602 KM 1.8 BARRIO ANGELES",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "00641",
            "telephone_number": "787-628-2650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr. 129 Km 1.0",
            "address_2": "Ave. San Luis",
            "address_purpose": "LOCATION",
            "city": "Arecibo",
            "state": "PR",
            "postal_code": "00613",
            "country_code": "US",
            "telephone_number": "787-650-7274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "LYNETTE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utuado, PR

Sources for this page

Verify at the official NPI Registry.