Organization Active NPI

Lanx Puerto Rico, LLC

  • Durable Medical Equipment & Medical Supplies
  • San Juan, PR
National Provider Identifier
1679911184
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LANX PUERTO RICO, LLC
Practice address
6 Calle Mariano Ramirez Bages Apt 11F
San Juan, PR 00907-1686
Phone
(303) 443-7500
NPI assigned
Jun 6, 2013
Last updated
Jun 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Mr. Randal Scott Fesmire
Title
Compliance Officer
Phone
(303) 501-8534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

6 Calle Mariano Ramirez Bages Apt 11F
San Juan, PR 00907-1686

Mailing address

310 Interlocken Pkwy
Suite 120
Broomfield, CO 80021-3479
Phone (303) 443-7500

National Provider Directory

National Provider Directory

Locations

310 Interlocken Pkwy
Ste 120
Broomfield, CO 80021
Phone (303) 443-7500

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1679911184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 INTERLOCKEN PKWY",
            "address_2": "SUITE 120",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213479",
            "telephone_number": "303-443-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CALLE MARIANO RAMIREZ BAGES APT 11F",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071686",
            "telephone_number": "303-443-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANX PUERTO RICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "FESMIRE",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "303-501-8534",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "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 Jun 28, 2018; 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.