Active NPI
Myrna E Montalvo Castillo
- Clinical Medical Laboratory
- Mayaguez, PR
National Provider Identifier
1023095791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 794
- Legal business name
- MYRNA E MONTALVO CASTILLO
- Practice address
- Urb. Mayaguez Terrace 1006 Calle Jose E. Arraras
Mayaguez, PR 00682-6635 - Phone
- (787) 265-1375
- Fax
- (787) 254-9645
- NPI assigned
- Dec 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Myrna E Montalvo, M.T.
- Title
- Owner
- Phone
- (787) 265-1375
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 794 | PR | Primary |
Addresses
Primary practice location
Urb. Mayaguez Terrace 1006 Calle Jose E. Arraras
Mayaguez, PR 00682-6635
Mailing address
Urb. Mayaguez Terrace 1006 Calle Jose E. Arraras
Mayaguez, PR 00682
Phone (787) 265-1375
Other names 1
- LABORATORIO CLINICO DE HOSTOS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100914001073 | PR | Part B Supplier - Independent Clinical Laboratory | 2062451974 | Practice locations: Mayaguez, PR |
National Provider Directory
National Provider DirectoryLocations
1006 Calle Jose E Arraras
Mayaguez, PR 00682
Phone (787) 265-1375
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Technologist
- Mayaguez, PR
- NPI 1326025073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684108800000",
"number": "1023095791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. MAYAGUEZ TERRACE 1006 CALLE JOSE E. ARRARAS",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00682",
"telephone_number": "787-265-1375",
"fax_number": "787-254-9645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. MAYAGUEZ TERRACE 1006 CALLE JOSE E. ARRARAS",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006826635",
"telephone_number": "787-265-1375",
"fax_number": "787-254-9645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYRNA E MONTALVO CASTILLO",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-23",
"last_updated": "2023-05-15",
"certification_date": "2023-05-03",
"status": "A",
"authorized_official_last_name": "MONTALVO",
"authorized_official_first_name": "MYRNA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-265-1375",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.T."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LABORATORIO CLINICO DE HOSTOS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LABORATORIO CLINICO DE HOSTOS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.