Susana Elvira Lantigua Tejada, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17130 Issued in PR

Practice address

Luis Munoz Rivera
157
San Lorenzo, PR 00754

Phone

(787) 736-6543

Fax

(787) 736-6543

NPI assigned

May 13, 2008

Last updated

Apr 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Lantigua Medical Center LLC

  • General Practice Physician
  • San Lorenzo, PR
  • NPI 1558210534
  NPD Authorized official

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1750558433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9088",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007929088",
            "telephone_number": "787-736-6543",
            "fax_number": "787-736-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LUIS MUNOZ RIVERA",
            "address_2": "157",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "00754",
            "telephone_number": "787-736-6543",
            "fax_number": "787-736-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTIGUA TEJADA",
        "first_name": "SUSANA",
        "middle_name": "ELVIRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Hato Inc
• Laboratorio Clinico Las Antillas PSC
• Laboratorio Clinico Paseo del Rio, LLC (Laboratorio Clinico Paseo del Rio)
• Krysia Maria Lago, FNP-C
• Lantigua Medical Center LLC
• Jorge Lao
• Lisyaima Laureano Morales, MPH,CHES,CDI
• Valeria Nicole Laureano Morales
• Raquel Lebron
• Javier Lee Borges, DMD

• General Practice Physician in San Lorenzo, PR
• Providers in San Lorenzo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.