Active NPI
Irmaril Perez Santoni
Doing business as Laboratorio Clinico Yesmar
- Clinical Medical Laboratory
- Aguada, PR
National Provider Identifier
1083609556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 814
- Legal business name
- IRMARIL PEREZ SANTONI
- Doing business as
- Laboratorio Clinico Yesmar
- Practice address
- 178 Calle Colon
Aguada, PR 00602-3222 - Phone
- (787) 868-2450
- NPI assigned
- Sep 12, 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
- Irmaril Perez, MT
- Title
- Owner
- Phone
- (787) 868-2450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 814 | PR | Primary |
Addresses
Primary practice location
178 Calle Colon
Aguada, PR 00602-3222
Mailing address
Calle Colon 118
Aguada, PUERTO RICO 00602
UM
Phone (787) 868-2450
Other names 1
- LABORATORIO CLINICO YESMAR
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101221000055 | PR | Part B Supplier - Independent Clinical Laboratory | 1052509825 | Practice locations: Aguada, PR |
National Provider Directory
National Provider DirectoryLocations
118 Calle Colon
Aguada, PR 00602
Phone (787) 868-2450
178 Calle Colon
Aguada, PR 00602
Phone (787) 868-2450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290470400000",
"number": "1083609556",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "CALLE COLON 118",
"city": "AGUADA",
"state": "PUERTO RICO",
"postal_code": "00602",
"telephone_number": "787-868-2450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 CALLE COLON",
"city": "AGUADA",
"state": "PR",
"postal_code": "006023222",
"telephone_number": "787-868-2450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRMARIL PEREZ SANTONI",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-12",
"last_updated": "2010-11-23",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "IRMARIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-868-2450",
"authorized_official_credential": "MT"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LABORATORIO CLINICO YESMAR",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aguada, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.