Life Health Care Medical, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A185160 Issued in NY

Legal business name

LIFE HEALTH CARE MEDICAL, PC

Practice address

9004 Merrick Blvd
Jamaica, NY 11432-5245

Phone

(718) 262-8400

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Rafael Antonio Delacruz-Gomez, M.D.

Title

President

Phone

(718) 262-8400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1699218768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9004 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325245",
            "telephone_number": "718-262-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9004 MERRICK BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325245",
            "telephone_number": "718-262-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HEALTH CARE MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "DELACRUZ-GOMEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-262-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "A185160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty RX Inc.
• Liberty Scripts Corp.
• Carmen Liburd
• Anthony Licea
• Latonya Lidge
• Life Skills 101, Inc.
• Life'S Worc
• Lifecare RX Inc.
• Barbara Ligas, MD
• Samantha Leanne Lightner

• Internal Medicine Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.