Living Healthy PSC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LIVING HEALTHY PSC

Practice address

771 Ave Andalucia
San Juan, PR 00921-1803

Phone

(787) 707-1983

Fax

(787) 706-8823

NPI assigned

Apr 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Wanda Enid Davila, MD

Title

Duena

Phone

(787) 707-1983

Specialties & licenses 6

Addresses

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1922397223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51991",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009501991",
            "telephone_number": "787-707-1983",
            "fax_number": "787-706-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 AVE ANDALUCIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211803",
            "telephone_number": "787-707-1983",
            "fax_number": "787-706-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING HEALTHY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "ENID",
        "authorized_official_title_or_position": "DUENA",
        "authorized_official_telephone_number": "787-707-1983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maximino Linares, M.D.
• Mia Lind, OTR-L
• Waleska Lind, MSW
• Isabel Liranza Dominguez, DMD
• Alicia Litchfield, M.D.
• Brianna Marina Lizardi Velazquez
• LJP LLC
• LJT Colorectal PSC
• LK Optics LLC
• Victor J Llado Diaz, MD

• General Practice Physician in San Juan, PR
• Providers in San Juan, 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 Apr 7, 2011; 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.