Puerto Rico Dermatopathology Laboratory Inc

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

3124 Issued in PR

Legal business name

PUERTO RICO DERMATOPATHOLOGY LABORATORY INC

Practice address

516B Calle Juan J Jimenez
San Juan, PR 00918-2605

Phone

(787) 751-6018

Fax

(787) 751-6018

NPI assigned

Oct 22, 2012

Last updated

Oct 22, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jorge L. Sanchez, M.D.

Title

President

Phone

(787) 751-6018

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1033462403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516B CALLE JUAN J JIMENEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182605",
            "telephone_number": "787-751-6018",
            "fax_number": "787-751-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516B CALLE JUAN J JIMENEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182605",
            "telephone_number": "787-751-6018",
            "fax_number": "787-751-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO DERMATOPATHOLOGY LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-751-6018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "PR",
            "license": "14181",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "PR",
            "license": "3124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puerto Rico Advance Medical Devices Corp
• Puerto Rico Assitive Technology Program
• Puerto Rico Case Manegement Corp
• Puerto Rico Community for Clinical Services, Research and Health (Prconcra)
• Puerto Rico Community for Clinical Services, Research and Health (Centro de Prevencion 330 - Las Lomas)
• Puerto Rico Down Syndrome Foundation, Inc
• Puerto Rico Drug Company Inc (Puerto Rico Drug)
• Puerto Rico Drug Company, Inc
• Puerto Rico Ear Clinic
• Puerto Rico Endovascular & Vascular Solution, P.S.C

• Dermatopathology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Dermatopathology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.