Healthcare Provider Details

I. General information

NPI: 1518357516
Provider Name (Legal Business Name): LP MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2015
Last Update Date: 01/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 CARR 177 APT 1503
SAN JUAN PR
00926-5357
US

IV. Provider business mailing address

139 CARR 177 APT 1503
SAN JUAN PR
00926-5357
US

V. Phone/Fax

Practice location:
  • Phone: 787-923-5887
  • Fax:
Mailing address:
  • Phone: 787-923-5887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LEONARDO PIRILLO
Title or Position: PRESIDENT
Credential: MD
Phone: 787-310-0137