Active NPI
LMG Medical Services, Inc.
- Health Service Clinic/Center
- Carolina, PR
National Provider Identifier
1982947024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 207Q00000X
- Legal business name
- LMG MEDICAL SERVICES, INC.
- Practice address
- 4A-S2 Fragoso Ave.
Villa Fontana
Carolina, PR 00985-7321 - Phone
- (787) 752-6767
- Fax
- (787) 752-6773
- NPI assigned
- Mar 27, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lizzette Montalvo, M.D.
- Title
- President
- Phone
- (787) 752-6767
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 207Q00000X | PR | Primary |
Addresses
Primary practice location
4A-S2 Fragoso Ave.
Villa Fontana
Carolina, PR 00985-7321
Mailing address
Parque Escorial, Ave. Sur 3510
Cond. the Residences,, BLDG. 6, Apt. 13
Carolina, PR 00987
Phone (787) 752-6767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ET644A | Other | PR | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Canovanas, PR
- NPI 1558412627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364342400000",
"number": "1982947024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PARQUE ESCORIAL, AVE. SUR 3510",
"address_2": "COND. THE RESIDENCES,, BLDG. 6, APT. 13",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-752-6767",
"fax_number": "787-752-6773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4A-S2 FRAGOSO AVE.",
"address_2": "VILLA FONTANA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009857321",
"telephone_number": "787-752-6767",
"fax_number": "787-752-6773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LMG MEDICAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-27",
"last_updated": "2013-03-27",
"status": "A",
"authorized_official_last_name": "MONTALVO",
"authorized_official_first_name": "LIZZETTE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-752-6767",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "PR",
"license": "207Q00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "ET644A",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.