Organization Active NPI

Lechuga Medical Services PSC

  • Health Service Clinic/Center
  • Hatillo, PR
National Provider Identifier
1972375046
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LECHUGA MEDICAL SERVICES PSC
Practice address
Carr 492KM 0.1 Sector Lechuga
Hatillo, PR 00659-0000
Phone
(787) 898-0905
NPI assigned
Oct 23, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Tatiana Morell Colberg, MDNPI 1215257605
Title
Presidenta
Phone
(787) 566-3804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

Carr 492KM 0.1 Sector Lechuga
Hatillo, PR 00659-0000

Mailing address

PO Box 575
Camuy, PR 00627-0575
Phone (787) 898-0905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231227003243 PR Part B Supplier - Clinic/Group Practice 7113377524 Receives reassigned benefits from 1 practitioner
Practice locations: Hatillo, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1972375046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 575",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006270575",
            "telephone_number": "787-898-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 492KM 0.1 SECTOR LECHUGA",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006590000",
            "telephone_number": "787-898-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LECHUGA MEDICAL SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "MORELL COLBERG",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-566-3804",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.