Individual provider Active NPI

Nilsa Marie Rivera Lezcano, MD

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1780274910
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
022047 Issued in PR
Practice address
1014 Calle Caonilla
Caguas, PR 00725-7630
Phone
(787) 567-7924
NPI assigned
Jan 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 022047 PR Primary
General Practice Physician 208D00000X 22047 PR

Addresses

Primary practice location

1014 Calle Caonilla
Caguas, PR 00725-7630

Mailing address

1014 Calle Caonilla
Caguas, PR 00725-7630
Phone (787) 567-7924

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
I20210728000220 PR Practitioner - General Practice 1355744475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Marginal Santa Cruz
17 Urb Santa Cruz
Bayamon, PR 00961-6706
Phone (787) 780-1273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022047PRMDGeneral Practice Physician
22047PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Foundation of Puerto Rico, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Community Health Foundation of Puerto Rico, Inc. General Practice CurrentSince Aug 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1780274910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 CALLE CAONILLA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257630",
            "telephone_number": "787-567-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 CALLE CAONILLA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257630",
            "telephone_number": "787-567-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA LEZCANO",
        "first_name": "NILSA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "022047",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22047",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.