Organization Active NPI

LMG Medical Services, Inc.

  • Health Service Clinic/Center
  • Carolina, PR
National Provider Identifier
1982947024
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
207Q00000X Issued in PR
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

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Lizzette Montalvo, M.D.NPI 1558412627
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ET644AOtherPRPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130802000342 PR Part B Supplier - Clinic/Group Practice 9133360175 Receives reassigned benefits from 1 practitioner
Practice locations: Carolina, 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.

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.

Verify at the official NPI Registry.