Healthcare Provider Details

I. General information

NPI: 1720906050
Provider Name (Legal Business Name): SOUTHWEST HAND SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB EL REAL PRINCESA 42
SAN GERMAN PR
00683
US

IV. Provider business mailing address

URB EL REAL PRINCESA 42
SAN GERMAN PR
00683
US

V. Phone/Fax

Practice location:
  • Phone: 787-951-2597
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LENNY LOUIS RIVERA ROSARIO
Title or Position: ADMINISTRATOR
Credential: MD
Phone: 787-951-2597