Lelis L. Nazario-Rodriguez, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

11679 Issued in PR

Practice address

Upr Medical Sciences Campus, School of Medicine
Dept. of Psychiatry, 9TH Floor, Office a-994
San Juan, PR 00935

Phone

(787) 758-2525

Fax

(787) 765-4047

NPI assigned

Jun 29, 2006

Last updated

Apr 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Practice roles

Locations

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.

• Recinto de Ciencias Medicas

  • Psychiatry Physician
  • San Juan, PR
  • NPI 1083720205
  Medicare reassignment NPD
• Recinto de Ciencias Medicas

  dba Cirugia Colorrectal RCM

  • Colon & Rectal Surgery Physician
  • San Juan, PR
  • NPI 1538935051
  NPD

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1881622942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UPR MEDICAL SCIENCES CAMPUS, SCHOOL OF MEDICINE",
            "address_2": "DEPT. OF PSYCHIATRY, PO BOX 365067",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067",
            "telephone_number": "787-758-2525",
            "fax_number": "787-765-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UPR MEDICAL SCIENCES CAMPUS, SCHOOL OF MEDICINE",
            "address_2": "DEPT. OF PSYCHIATRY, 9TH FLOOR, OFFICE A-994",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-758-2525",
            "fax_number": "787-765-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIO-RODRIGUEZ",
        "first_name": "LELIS",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "11679",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "11679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline A. Nazario Lugo, M.D.
• Emanuel Nazario Martinez
• Iris M Nazario Negron, PSYD
• Emanuel Andres Nazario Rodriguez
• Netzabeth Enyd Nazario Rosado, SRNA
• Edna Nazario-Velasco, PH.D.
• Janira Nazario, MD
• Juan Angel Nazario, M.D.
• Luis E Nazario
• Sylvette Nazario, M.D.

• Child & Adolescent Psychiatry Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Child & Adolescent Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.