NPIMap

Organization Active NPI

San Lazargerd Medical II CSP

  • Multi-Specialty Clinic/Center
  • Lares, PR
National Provider Identifier
1689065393
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SAN LAZARGERD MEDICAL II CSP
Practice address
Carr 129 KM 21.2
Lares, PR 00669-0000
Phone
(787) 897-0353
NPI assigned
Feb 17, 2015
Last updated
Oct 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Mrs. Elizabeth Ruiz
Title
Secretary
Phone
(787) 897-0353

Specialties & licenses 1

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

Addresses

Primary practice location

Carr 129 KM 21.2
Lares, PR 00669-0000

Mailing address

PO Box 428
Lares, PR 00669-0428
Phone (787) 897-0353

National Provider Directory

National Provider Directory
Tax ID family
San Lazargerd Medical II CSP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1689065393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690428",
            "telephone_number": "787-897-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 129 KM 21.2",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690000",
            "telephone_number": "787-897-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LAZARGERD MEDICAL II CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "787-897-0353",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lares, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.