Healthcare Provider Details

I. General information

NPI: 1669386082
Provider Name (Legal Business Name): PULMONIP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 TORRE SAN LUCAS AVE TITO CASTRO
PONCE PR
00780
US

IV. Provider business mailing address

PO BOX 2718
SAN GERMAN PR
00683-2718
US

V. Phone/Fax

Practice location:
  • Phone: 787-290-5577
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KEREN MENDEZ RAMIREZ
Title or Position: PRESIDENT
Credential: MD
Phone: 787-290-5577