NPIMap

Organization Active NPI

LJR Medical LLC

  • Family Medicine Physician
  • Carolina, PR
National Provider Identifier
1871150904
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LJR MEDICAL LLC
Practice address
3FS5 Ave Fragoso
Urb Villa Fontana
Carolina, PR 00985
Phone
(787) 752-6767
Fax
(787) 752-6773
NPI assigned
May 23, 2019
Last updated
May 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Authorized official

Name
Dr. Lizzette Montalvo, MDNPI 1558412627
Title
Owner
Phone
(787) 752-6767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

3FS5 Ave Fragoso
Urb Villa Fontana
Carolina, PR 00985

Mailing address

335 Urb River Garden
Flor de Nono
Canovanas, PR 00729
Phone (787) 752-6767

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1871150904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 URB RIVER GARDEN",
            "address_2": "FLOR DE NONO",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-752-6767",
            "fax_number": "787-752-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3FS5 AVE FRAGOSO",
            "address_2": "URB VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-752-6767",
            "fax_number": "787-752-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LJR MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "MONTALVO",
        "authorized_official_first_name": "LIZZETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-752-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.