Ilean Veronica Lamboy Hernandez, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Pittsburgh, PA
NPI 1699123752 · NPPES record last updated Apr 19, 2023
Key facts
- NPI
- 1699123752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 21705 (PR)
- Practice address
- 200 Lothrop St
Pittsburgh, PA 15213-2536 - Phone
- (412) 647-8762
- NPI assigned
- May 31, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Damas Inc
Practice addresses (Care Compare)
1010 Paseo del Veterano
Ponce, PR 00716-2001
Phone 78749201112191
Hospital & facility affiliations
- Hospital Damas Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230830004214 | PR | Practitioner - Pulmonary Disease |
1153708730 |
Reassigns benefits to 1 organization Practice locations: Ponce, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21705 | PR | MD | Pulmonary Disease Physician |
| 32,266-R | PR | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Anesthesia Associates LLC | Single Specialty | Current | Accepting new patients |
| Hospital Damas Inc | Single Specialty | Current |
Accepting new patients |
Locations
2213 Ponce Byp
Ponce, PR 00717
Phone (787) 368-7802
1010 Paseo del Veterano
Ponce, PR 00716
Phone (787) 492-0111
2225 Ponce Byp
Ste 203
Ponce, PR 00717
Phone (787) 812-4131
2225 Ponce Byp
Ste 407
Ponce, PR 00717
Phone (787) 421-8410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 32,266-R | PR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program |
390200000X | MT224958 | ||
| Pulmonary Disease Physician | 207RP1001X | 21705 | PR | Yes |
Addresses
Primary practice location
200 Lothrop St
Pittsburgh, PA 15213-2536
Mailing address
HC 1 Box 3083
Adjuntas, PR 00601-9571
Phone (787) 905-9795
Other practice location 1
2225 Ponce Byp Ste 407
Ponce, PR 00717-1322
Phone (787) 840-8686 ext. 6141
Other providers in Pittsburgh, PA
- Jerry V. Lambert Jr.
- Kelly Lambert
- William Frederick Lamberton
- Phillip Edward Lamberty
- Sanjay Lambore
- Sarah Lambright
- Louis Lambros
- Katie Lynn Lamendola
- Luke Lamertina
- Andre Lametti
All providers in Pittsburgh, PA · Pulmonary Disease Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.