Healthcare Provider Details

I. General information

NPI: 1578486908
Provider Name (Legal Business Name): CARIBBEAN LUNG AND SLEEP INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE JOSE C. VAZQUEZ CARR 726 KM 0.5 BO CAONILLAS
AIBONITO PR
00705
US

IV. Provider business mailing address

PO BOX 200
TOA ALTA PR
00954-0200
US

V. Phone/Fax

Practice location:
  • Phone: 787-433-4003
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: VANESSA FONSECA FERRER
Title or Position: PRESIDENT
Credential: MD
Phone: 787-237-0228