Provider Demographics
NPI:1609697275
Name:LR MEDICAL LLC
Entity type:Organization
Organization Name:LR MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-960-6597
Mailing Address - Street 1:PO BOX 372202
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-2202
Mailing Address - Country:US
Mailing Address - Phone:787-960-6597
Mailing Address - Fax:
Practice Address - Street 1:CENTRO MEDICO MENONITA DE CAYEY
Practice Address - Street 2:CARR 14 INTERIOR BO RINCON
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-0001
Practice Address - Country:US
Practice Address - Phone:787-535-1001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty