Active NPI
Carmen D Beauchamp Velez
- Clinical Medical Laboratory
- Florida, PR
National Provider Identifier
1043481435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 831
- Practice address
- 4 Calle Dr Vazquez
Florida, PR 00650-2035 - Phone
- (787) 822-3364
- NPI assigned
- Mar 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 831 | PR | Primary |
Addresses
Primary practice location
4 Calle Dr Vazquez
Florida, PR 00650-2035
Mailing address
4 Calle Dr Vazquez
Florida, PR 00650-2035
Phone (787) 822-3364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080514000535 | PR | Part B Supplier - Independent Clinical Laboratory | 7416026646 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Florida, PR |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- Florida, PR
- NPI 1750484135
O20080514000535
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 831 | PR | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558224000000",
"number": "1043481435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CALLE DR VAZQUEZ",
"city": "FLORIDA",
"state": "PR",
"postal_code": "006502035",
"telephone_number": "787-822-3364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CALLE DR VAZQUEZ",
"city": "FLORIDA",
"state": "PR",
"postal_code": "006502035",
"telephone_number": "787-822-3364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUCHAMP VELEZ",
"first_name": "CARMEN",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-13",
"last_updated": "2019-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florida, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2019; 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.