LP Renal Services, CSP

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LP RENAL SERVICES, CSP

Practice address

668 Hernandez Carrion Street Atenas Ave
Manati Medical Center Hosp. Suite 104B
Manati, PR 00674-0000

Phone

(787) 854-4170

Fax

(787) 854-4493

NPI assigned

Jan 27, 2009

Organization subpart

Yes

Parent organization

LP RENAL SERVICES, CSPAs reported in NPPES

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

Authorized official

Name

Yomalis Gines-Sanchez

Title

Secretaria

Phone

(787) 854-4170

Specialties & licenses 1

Addresses

Other names 1

• LP RENAL SERVICES, CSP Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Part of

LP Renal Services CSP

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lillian Padilla Costoso, M.D.

  • Nephrology Physician
  • Manati, PR
  • NPI 1396890133
  Medicare reassignment Care Compare group NPD
• Lourdes S. Pena-de la Vega, M.D.

  • Nephrology Physician
  • Manati, PR
  • NPI 1134273394
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1992943096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STREET HERNANDEZ CARRION ATENAS AVE.",
            "address_2": "HOSP. MANATI MEDICAL CENTER SUITE 104B",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740407",
            "telephone_number": "787-854-4170",
            "fax_number": "787-854-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 HERNANDEZ CARRION STREET ATENAS AVE",
            "address_2": "MANATI MEDICAL CENTER HOSP. SUITE 104B",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740000",
            "telephone_number": "787-854-4170",
            "fax_number": "787-854-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP RENAL SERVICES, CSP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LP RENAL SERVICES, CSP",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "GINES-SANCHEZ",
        "authorized_official_first_name": "YOMALIS",
        "authorized_official_title_or_position": "SECRETARIA",
        "authorized_official_telephone_number": "787-854-4170"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LP RENAL SERVICES, CSP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lorenzo Dermatology LLC
• Jessica Lorenzo
• Wendy Lounsberry Goveo, DPT
• Philip C. Lowry, M.D.
• David Lozada, M.D.
• Marimar Luciano
• Shirley Yahaira Lugardo, MD
• Veronica Evid Lugo Maldonado, MA
• Gaspar Lugo Perez, M.D.
• Lizbette Lugo Perez, 18074

• Specialist in Manati, PR
• Providers in Manati, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.