Organization Active NPI

Irmaril Perez Santoni

Doing business as Laboratorio Clinico Yesmar

  • Clinical Medical Laboratory
  • Aguada, PR
National Provider Identifier
1083609556
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
814 Issued in PR
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

Updated by the provider on Nov 23, 2010

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101221000055 PR Part B Supplier - Independent Clinical Laboratory 1052509825 Practice locations: Aguada, PR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.