Healthcare Provider Details

I. General information

NPI: 1861323172
Provider Name (Legal Business Name): KLYR MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 CALLE DE SAN FRANCISCO
SAN JUAN PR
00901-1659
US

IV. Provider business mailing address

151 CALLE DE SAN FRANCISCO
SAN JUAN PR
00901-1659
US

V. Phone/Fax

Practice location:
  • Phone: 305-721-1101
  • Fax: 305-675-0117
Mailing address:
  • Phone: 305-721-1101
  • Fax: 305-675-0117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: OLIVIA HOPE WEAVER
Title or Position: BILLING MANAGER
Credential:
Phone: 731-798-5065