Provider Demographics
NPI:1568741387
Name:SHUM, LEE MING (MD)
Entity Type:Individual
Prefix:DR
First Name:LEE MING
Middle Name:
Last Name:SHUM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3895
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-3895
Mailing Address - Country:US
Mailing Address - Phone:787-804-3030
Mailing Address - Fax:787-804-3035
Practice Address - Street 1:CARR #2 BO GUANAJIBO
Practice Address - Street 2:POLICLINICA DE BELLA VISTA OFIC 205
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-804-3030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-10
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19336207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology