LM Behavioral PSC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

16449 Issued in PR

Legal business name

LM BEHAVIORAL PSC

Practice address

Guaynabo Medical Mall
140 Ave. Las Cumbres
Guaynabo, PR 00969

Phone

(787) 272-1292

Fax

(787) 287-2487

NPI assigned

Oct 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Liliana Z Miranda Broco, MD

Title

Psychiatrist

Phone

(787) 272-1292

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Liliana Zoe Miranda, M.D.

  • Psychiatry Physician
  • Guaynabo, PR
  • NPI 1598828352
  NPD (past)

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1871780239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JC BORBON SUITE 67",
            "address_2": "PMB-383",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-272-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GUAYNABO MEDICAL MALL",
            "address_2": "140 AVE. LAS CUMBRES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-272-1292",
            "fax_number": "787-287-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LM BEHAVIORAL PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "MIRANDA BROCO",
        "authorized_official_first_name": "LILIANA",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "787-272-1292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PR",
            "license": "16449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose L. Linares Negron, 1079P
• Lisbeth Nutricionista LLC
• Livers Pediatric LLC
• Osvaly Gregorio Lizardo, MD
• Carla R Llavona-Ramia, M.D.
• Local Medical Services, PSC
• Carmen A Lojo-Vazquez
• Luis Francisco Lojo, M.D.
• Daniela Londono, PHARMACY TECHNICIAN
• Texell Xavier Longoria-Dubocq

• Adult Mental Health Clinic/Center in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Adult Mental Health Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.