Individual provider Active NPI

Christopher Bruce Lemus Deliz, MD

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1699375501
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22098 Issued in PR
Practice address
Carretera 129, Avenida San Luis
KM. 1.0
Arecibo, PR 00613
Phone
(787) 650-7272
NPI assigned
Oct 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22098 PR Primary

Addresses

Primary practice location

Carretera 129, Avenida San Luis
KM. 1.0
Arecibo, PR 00613

Mailing address

231 Calle Aries
Isabela, PR 00662-3521
Phone (787) 225-2938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210226002491 PR Practitioner - General Practice 3375958242 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Pavia Healthcare Centers Inc CurrentSince Aug 1, 2021 Accepting new patients
Metro Pavia Healthcare Centers Inc Current Accepting new patients
Metro Pavia Healthcare Center CurrentSince Aug 1, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1699375501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 CALLE ARIES",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006623521",
            "telephone_number": "787-225-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 129, AVENIDA SAN LUIS",
            "address_2": "KM. 1.0",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00613",
            "telephone_number": "787-650-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMUS DELIZ",
        "first_name": "CHRISTOPHER",
        "middle_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-29",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.