Individual provider Active NPI

Luisa Hernandez Liyim, M.D.

  • Internal Medicine Physician
  • Fajardo, PR
National Provider Identifier
1982697751
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10151 Issued in PR
Practice address
G5 Calle Principal
Urbanizacion Baralt
Fajardo, PR 00738-3774
Phone
(787) 889-2267
Fax
(787) 889-2267
NPI assigned
Aug 26, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10151 PR Primary

Addresses

Primary practice location

G5 Calle Principal
Urbanizacion Baralt
Fajardo, PR 00738-3774

Mailing address

PO Box 1311
Fajardo, PR 00738-1311
Phone (787) 435-4323

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080710000698 PR Practitioner - Internal Medicine 3173695947 Practice locations: Fajardo, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10151PRMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1982697751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1311",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007381311",
            "telephone_number": "787-435-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G5 CALLE PRINCIPAL",
            "address_2": "URBANIZACION BARALT",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383774",
            "telephone_number": "787-889-2267",
            "fax_number": "787-889-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ LIYIM",
        "first_name": "LUISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "10151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

Verify at the official NPI Registry.