Provider Demographics
NPI:1699734343
Name:L.I.P.HEALTH SERVICES,CORP
Entity type:Organization
Organization Name:L.I.P.HEALTH SERVICES,CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:PINEIRO
Authorized Official - Last Name:MONTALVO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-851-9361
Mailing Address - Street 1:PO BOX 409
Mailing Address - Street 2:P.O.BOX 409 CABO ROJO,PUERTO RICO00623-0409
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-0409
Mailing Address - Country:US
Mailing Address - Phone:787-851-9361
Mailing Address - Fax:787-851-9361
Practice Address - Street 1:URB.VILLAS DE PLAN BONITO CARR.100 INT.KM.2.7
Practice Address - Street 2:THE SAME
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623-0409
Practice Address - Country:US
Practice Address - Phone:787-851-9361
Practice Address - Fax:787-851-9361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12607282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access