Active NPIIndividual providerSole proprietor

Liselle Lathroum, MD

General Acute Care Hospital, Children in San Juan, Puerto Rico

NPI Number1548512460
Practice location
230 Calle Viena, College Park, San Juan, PR 00921-4804
Fax
—
Last updated
October 3, 2012

Liselle Lathroum is a General Acute Care Hospital, Children based in San Juan, PR. Liselle Lathroum practices in San Juan, PR and has the professional credentials of MD. The NPI Number for Liselle Lathroum is 1548512460 and holds a License No. 030165-R (PR). The current practice location address for Liselle Lathroum is 230 Calle Viena, College Park, San Juan, PR 00921-4804 and can be reached out via phone at 787-413-0779.

Provider Profile Details

NPI Number
1548512460
Provider Name
Liselle Lathroum
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
230 Calle Viena, College Park, San Juan, PR 00921-4804
Phone Number
787-413-0779
Primary Taxonomy
General Acute Care Hospital, Children · 282NC2000X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2012
Last Update Date
October 3, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
230 Calle Viena
College Park
San Juan, PR 00921-4804
Zip
00921-4804
Phone Number
787-413-0779
San Juan, PR 00921Get directions →

Provider Business Mailing Address Details

Address
230 Calle Viena
College Park
San Juan, PR 00921-4804
City
San Juan
State
PR
Zip
00921-4804
Phone Number
787-413-0779

License Information

License Number
030165-R
License State
PR
Taxonomy
General Acute Care Hospital, Children · 282NC2000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Liselle Lathroum, MD?

The NPI number of Liselle Lathroum, MD is 1548512460. It was assigned on October 3, 2012 and is currently active in the NPPES registry.

What is the specialty of Liselle Lathroum, MD?

Liselle Lathroum, MD is registered under the primary taxonomy General Acute Care Hospital, Children (code 282NC2000X), licensed in PR under license number 030165-R.

Where does Liselle Lathroum, MD practice?

The practice location is 230 Calle Viena, College Park, San Juan, PR 00921-4804. The office can be reached at 787-413-0779 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548512460 directly on the NPPES registry website.

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