Lylyvette Matos Castro, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

019820 Issued in PR

Practice address

Carretera 164 KM 7.4 Interior
Bo Achoite Sector El Cementerio
Naranjito, PR 00719-0274

Phone

(787) 605-7629

Fax

(787) 605-7629

NPI assigned

Dec 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Specialty

General Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ER Specialized Care LLCGroup PAC ID 6507122967, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• ER Specialized Care LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • San Juan, PR
  • NPI 1144758814
  Medicare reassignment Care Compare group NPD
• First Hospital Panamericano Inc

  • Psychiatric Hospital
  • Cidra, PR
  • NPI 1346357225
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1265493001
  Care Compare affiliation

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1972019495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 274",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190274",
            "telephone_number": "787-605-7629",
            "fax_number": "787-869-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 164 KM 7.4 INTERIOR",
            "address_2": "BO ACHOITE SECTOR EL CEMENTERIO",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190274",
            "telephone_number": "787-605-7629",
            "fax_number": "787-605-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS CASTRO",
        "first_name": "LYLYVETTE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "019820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enid Maldonado
• Johan Maldonado
• Marilyn Maldonado
• Sylvia Marcano
• Nancy Esther Martinez
• Kayssie Marie Medina Rivera, SLP
• Paulo Abnier Melendez Ortiz
• Melito Reategui Montoya LLC
• Mercado Ambulance Corp
• Nathaly Mercado Colon

• General Practice Physician in Naranjito, PR
• Providers in Naranjito, 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 Dec 20, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.