Organization Active NPI

Legal Med PR LCC

  • Clinic/Center
  • Fajardo, PR
National Provider Identifier
1689465908
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LEGAL MED PR LCC
Practice address
157 Calle Ruiz Belvis 157
Fajardo, PR 00738-4732
Phone
(787) 342-7474
NPI assigned
May 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Juan David Andujar, MDNPI 1528280799
Title
Medical Doctor
Phone
(787) 342-7474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

157 Calle Ruiz Belvis 157
Fajardo, PR 00738-4732

Mailing address

157 Calle Ruiz Belvis 157
Fajardo, PR 00738-4732
Phone (787) 342-7474

National Provider Directory

National Provider Directory

Locations

157 Calle Ruiz Belvis
#157
Fajardo, PR 00738
Phone (787) 342-7474

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": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1689465908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 CALLE RUIZ BELVIS 157",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384732",
            "telephone_number": "787-342-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 CALLE RUIZ BELVIS 157",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384732",
            "telephone_number": "787-342-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGAL MED PR LCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-09-11",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "ANDUJAR",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "787-342-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.