LISELLE LATHROUM (NPI# 1548512460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548512460 |
| Entity Type | Individual |
| Full Name | LISELLE LATHROUM |
| Credential | M.D. |
| Practice Address |
230 Calle Viena College Park San Juan PR 00921-4804 |
| Practice Telephone | 7874130779 |
| Mailing Telephone | 7874130779 |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
030165-R | PR | Hospitals |
| Street Address |
230 CALLE VIENA COLLEGE PARK |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00921-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291540 | Valeria Lozada Miranda | Student in an Organized Health Care Education/Training Program | Hospital Universitario Centro Medico, San Juan, PR 00921 | 2020-10-06 |
| 1710593983 | Alicia Yare Alvarez | Social Worker | 1 Calle Maga Final Pabellon G, Centro Medico, San Juan, PR 00921 | 2020-09-22 |
| 1851919310 | Adriana Lucia Guarachi | Student in an Organized Health Care Education/Training Program | Centro Medico Hospital Pediatrico Universitario, San Juan, PUERTO RICO 00921 | 2020-07-10 |
| 1295353910 | Vmedical Group Psc | General Practice | Calle 10 So #1534, Caparra Terrace, San Juan, PR 00921 | 2020-07-09 |
| 1265059281 | Juliara Enid Ortiz Santana | Student in an Organized Health Care Education/Training Program | Centro Medico De Pr, Bo. Monacillos, San Juan, PR 00921 | 2020-06-26 |
| 1326664442 | Antonio Jose Santos Roca | Student in an Organized Health Care Education/Training Program | Paseo Dr. Jose Celso, University of Puerto Rico Medical Sciences Campus, San Juan, PR 00921 | 2020-06-24 |
| 1245856848 | Mayra A Colon Lopez | Dentist | Medical Sciences Campus, Paseo Dr. Jose Celso Barbosa, San Juan, PR 00921 | 2020-06-19 |
| 1134752470 | Keila Marie Drowne | Registered Nurse | Caparra Terrace So, 1507 Calle 16, San Juan, PR 00921 | 2020-02-14 |
| 1730711201 | Jose J. Betancourt | Student in an Organized Health Care Education/Training Program | School of Medicine, Paseo Dr. Jose Celso Barbosa, San Juan, PR 00921 | 2020-02-12 |
| 1437781085 | Boriq LLC | Chiropractor | Urb. Santiago Iglesias 1404 Ave Paz Granela, Suite C1, San Juan, PR 00921 | 2020-02-11 |
| Find all providers in zip 00921 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619215126 | San Juan City Hospital | General Acute Care Hospital | San Juan City Hospital, Pediatric Department, San Juan, PR 00936-8344 | 2013-01-18 |
| 1700158391 | San Jorge Pediatric Orthopaedic Institute | General Acute Care Hospital | San Jorge Corporate Building 2b, San Jorge 253, San Juan, PR 00912 | 2012-01-30 |
| 1710121157 | San Juan City Hoapital | General Acute Care Hospital | Bo Monacillos Centro Medico Hospital Municipal San Juan, San Juan, PR 00935 | 2009-04-29 |
| 1255586939 | Martiniano J. Costa | General Acute Care Hospital | Cond Roosevelt Apts, San Juan, PR 00917-2710 | 2008-11-23 |
| 1376903914 | San Jorge Chiropractic Services | General Acute Care Hospital | 253 Calle San Jorge, San Jorge Corporate Building 2b, San Juan, PR 00912 | 2016-02-24 |
| 1154705762 | Carlos Alberto Flores Oria | General Acute Care Hospital | Boulevard Dr Guillermo Arbona Centro Medico, San Juan, San Juan, PR 00935-5067 | 2015-07-13 |
| 1720326994 | San Juan City Hospital | General Acute Care Hospital | San Juan City Hospital, Pediatrics Deparment, San Juan, PR 00936 | 2013-01-23 |
| 1811001613 | San Jorge Children's Hospital, Inc. | General Acute Care Hospital | 258 Calle San Jorge, San Juan, PR 00912-3239 | 2006-08-18 |
| 1952314296 | Emergency & Pediatric Specialists of P.r. Psc | General Acute Care Hospital | 130 Ave Winston Churchill, Suite 1 Pmb 108, San Juan, PR 00926-6013 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689148298 | Puerto Rico Women and Children S Hospital | General Acute Care Hospital | Carr. #2 Km 11.7 Interior, Bayamon, PR 00960 | 2019-01-16 |
| 1528360237 | San Juan City Hospital | General Acute Care Hospital | 66 Calle Violeta, Ciudad Jardin, Carolina, PR 00987-2205 | 2010-12-01 |
| 1790087492 | Hospital Pediatrico Universitario | General Acute Care Hospital | Hopu Bo Monacillos Carr #22 Centro Medico, Rio Piedras, PR 00935 | 2010-12-01 |
| 1184943987 | Upr Medical Science Campus Pediatric Residency Program | General Acute Care Hospital | Calle 12 D-10 Santa Catalina, Bayamon, PR 00957 | 2010-05-19 |
| 1710203351 | Jcm Pediatric Hospitalist Services of Puerto Rico | General Acute Care Hospital | Puerto Rico Children Hospital, Carr. #2 Km 11.7, Bayamon, PR 00959 | 2010-04-07 |
| 1992988802 | Puerto Rico Children's Hospital,inc. | General Acute Care Hospital | Carretera #2 Km 11.9 Interior Bo. Pajaros, Bayamon, PR 00959-1999 | 2007-12-13 |
| 1780708875 | Basilisa Rivera | General Acute Care Hospital | 37 Calle Zorzal, Chalets De Bairoa, Caguas, PR 00727-1246 | 2007-03-16 |
| 1174678460 | Departamento De Salud Oficial | General Acute Care Hospital | Puerto Rico Medical Center, Rio Piedras, PR 00919-1079 | 2007-01-24 |
| 1386057149 | Recinto De Ciencias Medicas | General Acute Care Hospital | University Pediatric Hospital, Rio Piedras, PR 00929-0134 | 2014-06-09 |
| 1780891754 | Hospital San Antonio | General Acute Care Hospital | 18 Calle Post N, Mayaguez, PR 00680-6626 | 2007-05-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.