Individual provider Active NPI

Sandra Lisboa, MD

  • General Practice Physician
  • Cayey, PR
National Provider Identifier
1942264866
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
7966 Issued in PR
Practice address
5 Calle Paisajes
5 Calle Paisajes
Cayey, PR 00736-8600
Phone
(787) 263-6178
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 7966 PR Primary

Addresses

Primary practice location

5 Calle Paisajes
5 Calle Paisajes
Cayey, PR 00736-8600

Mailing address

5 Calle Paisajes
Miradores de Cayey
Cayey, PR 00736-8600
Phone (787) 263-6178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7966PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1942264866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CALLE PAISAJES",
            "address_2": "MIRADORES DE CAYEY",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007368600",
            "telephone_number": "787-263-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE PAISAJES",
            "address_2": "5 CALLE PAISAJES",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007368600",
            "telephone_number": "787-263-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISBOA",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "7966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.