Individual provider Active NPI

Lilliam Caraballo Lemell, DPM, MPH

  • Podiatrist
  • Coto Laurel, PR
National Provider Identifier
1912980301
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000030 Issued in PR
Practice address
Torre San Cristobal
Suite 213
Coto Laurel, PR 00780
Phone
(787) 841-2228
Fax
(787) 841-2220
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000030 PR Primary

Addresses

Primary practice location

Torre San Cristobal
Suite 213
Coto Laurel, PR 00780

Mailing address

PO Box 800677
Coto Laurel, PR 00780-0677
Phone (787) 841-2228

Other names 1

  • Ms. Lilliam Caraballo Rodriquez Other name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060406000644 PR Practitioner - Podiatry 5991714677 Practice locations: Coto Laurel, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000030PRMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ponce Medical School Foundation Inc Past Accepting new patients

Organizations & group practices 1

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1912980301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800677",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800677",
            "telephone_number": "787-841-2228",
            "fax_number": "787-841-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE SAN CRISTOBAL",
            "address_2": "SUITE 213",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-841-2228",
            "fax_number": "787-841-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMELL",
        "first_name": "LILLIAM",
        "middle_name": "CARABALLO",
        "name_prefix": "Dr.",
        "credential": "DPM, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PR",
            "license": "000030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLIAM",
            "last_name": "RODRIQUEZ",
            "middle_name": "CARABALLO",
            "prefix": "MS.",
            "credential": "DPM, MPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coto Laurel, PR

Sources for this page

Verify at the official NPI Registry.