Darling Taiz Pantoja

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

15-120 Issued in PR

Practice address

Carr 2 KM 18.4
Toa Baja, PR 00949

Phone

(787) 306-1900

NPI assigned

Oct 13, 2015

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Laboratorio Neoclinico Inc.

  • Clinical Medical Laboratory
  • Toa Baja, PR
  • NPI 1609247881
  NPD Authorized official
• Toa Baja Medical Plaza Inc

  • Health Service Clinic/Center
  • Toa Baja, PR
  • NPI 1679227003
  NPD Authorized official
• Laboratorio Neoclinico 2, Inc

  • Clinical Medical Laboratory
  • Toa Alta, PR
  • NPI 1043032345
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 5, 2022.

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1003287285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 CALLE CACATUA",
            "address_2": "URB LOS MONTES",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006469431",
            "telephone_number": "787-306-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 18.4",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-306-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTOJA",
        "first_name": "DARLING",
        "middle_name": "TAIZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "15-120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNC, CERTIFICADO DE NECESIDAD Y CONVENIENCIA",
            "identifier": "15-120",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivonne Padilla Aquino, M.D.
• Evelyn Padilla Lopez, M.D.
• Eunice Marie Padilla
• Mariamlyd Pagan Diaz, PHARM.D.
• Victor Pagan
• Paramedic Life Care Ambulance Service,Corp
• Luis A Paris Rivera, M.D
• Yairamaris Pelet Giraud, M.D.
• Jennifer Pelletier
• Elizabeth Pena Payero, PSY.D

• All providers in Toa Baja, PR
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.