Los Angeles Medical Clinic Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16341 Issued in PR

Legal business name

LOS ANGELES MEDICAL CLINIC CORP

Practice address

1400 Calle San Rafael
Esq Hipodromo Suite 201
Santurce, PR 00909-2644

Phone

(787) 721-6626

Fax

(787) 725-1287

NPI assigned

Feb 8, 2006

Last updated

Aug 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Myriam Saez, MDNPI 1720042260

Title

President

Phone

(787) 721-0429

Specialties & licenses 12

Addresses

Other identifiers 7

Locations

Practitioners 30

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.

• Myriam Milagros Saez, MD

  • General Practice Physician
  • Aibonito, PR
  • NPI 1720042260
  NPD (past) Authorized official
• Angel Acevedo, MD

  • General Practice Physician
  • San Juan, PR
  • NPI 1689663817
  NPD (past)
• Joyce Marie Castro Gonzalez, M.D.

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Guaynabo, PR
  • NPI 1003023813
  NPD (past)
• Samuel Collazo Carrasquillo, MD.

  • Internal Medicine Physician
  • Canovanas, PR
  • NPI 1053300053
  NPD (past)
• Juan Angel De la Rosa, M.D.

  • Driver
  • Vega Baja, PR
  • NPI 1528024908

  General Practice

  NPD (past)
• Oscar Garcia Ortiz, MD

  • Family Medicine Physician
  • Vega Alta, PR
  • NPI 1033162367
  NPD (past)
• Manuel Gonzalez-Rodriguez, MD

  • Pulmonary Disease Physician
  • Carolina, PR
  • NPI 1548257421
  NPD (past)
• Laura Alicia Gonzalez, PSY.D.

  • Clinical Psychologist
  • Guaynabo, PR
  • NPI 1780665232
  NPD (past)
• Cynthia Lopez, M.D

  • General Practice Physician
  • Humacao, PR
  • NPI 1326001413
  NPD (past)
• Jannette Lopez, O.T.

  • Occupational Therapist
  • Manati, PR
  • NPI 1659577658
  NPD (past)
• Joanne M Marin, MD.

  • Diagnostic Radiology Physician
  • Hato Rey, PR
  • NPI 1003844986
  NPD (past)
• Doris A Marrero

  • Contractor
  • Santurce, PR
  • NPI 1730386848
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1912970351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CALLE SAN RAFAEL",
            "address_2": "ESQ HIPODROMO SUITE 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092693",
            "telephone_number": "787-721-6626",
            "fax_number": "787-725-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CALLE SAN RAFAEL",
            "address_2": "ESQ HIPODROMO SUITE 201",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009092644",
            "telephone_number": "787-721-6626",
            "fax_number": "787-725-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES MEDICAL CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "SAEZ",
        "authorized_official_first_name": "MYRIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-721-0429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "70",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "1820",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "013924",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "11058",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "9251",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "4847",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "8908",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "10561",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "15909",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "16341",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "16296",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "624",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC",
            "identifier": "4172",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "9090182",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIA",
            "identifier": "3153261",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH INC",
            "identifier": "04486",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "9080048",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH MEDICARE",
            "identifier": "3842",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALI",
            "identifier": "4965",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayanara Lebron, LND,CAWM,DE
• Mariola Llinas Messeguer, M.D.
• Orlando Alfredo Lopez Santiago, MD
• Jorge L Lopez-Rodriguez, MD
• Adry Fernandez Lopez, MD
• Wanda C Luciano Ortega, PSY.D
• Maribel Malave, PH
• Victor Kevin Maldonado, M.D.
• Jose A Marques Bibiloni Sr., MD
• Domingo J. Marques, PSY.D.

• General Practice Physician in Santurce, PR
• Providers in Santurce, 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 Aug 17, 2018; 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.