Active NPI
Quimed Corp
- Clinical Medical Laboratory
- San Juan, PR
National Provider Identifier
1144208216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 559
- Legal business name
- QUIMED CORP
- Doing business as
- LABORATORIO CLINICO QUIMICO QUIMED
- Practice address
- Ave Borinquen 2036 Bo Obrero Santurce
San Juan, PR 00915 - Phone
- (787) 726-0397
- Fax
- (787) 726-0397
- NPI assigned
- Jan 9, 2006
- 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
- Norma I Pacheco Rodriguez, MT MS
- Title
- Duena
- Phone
- (787) 726-0397
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Clinical Medical Laboratory | 291U00000X | 559 | PR | Primary |
Addresses
Primary practice location
Ave Borinquen 2036 Bo Obrero Santurce
San Juan, PR 00915
Mailing address
PO Box 7056
Avenida Borinquen 2036 Bo. Obrero Santurce
San Juan, PR 00916-7056
Phone (787) 726-0397
Other names 1
- LABORATORIO CLINICO QUIMICO QUIMED
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130114000149 | PR | Part B Supplier - Independent Clinical Laboratory | 1850544370 | Practice locations: San Juan, PR |
National Provider Directory
National Provider DirectoryLocations
2036 Ave Borinquen
San Juan, PR 00915
Phone (787) 726-0397
2036 Ave Borinquen
Ste 1
San Juan, PR 00915
Phone (787) 726-0397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268265600000",
"number": "1144208216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7056",
"address_2": "AVENIDA BORINQUEN 2036 BO. OBRERO SANTURCE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009167056",
"telephone_number": "787-726-0397",
"fax_number": "787-726-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE BORINQUEN 2036 BO OBRERO SANTURCE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00915",
"telephone_number": "787-726-0397",
"fax_number": "787-726-0397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUIMED CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-09",
"last_updated": "2010-03-11",
"status": "A",
"authorized_official_last_name": "PACHECO RODRIGUEZ",
"authorized_official_first_name": "NORMA",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "DUENA",
"authorized_official_telephone_number": "787-726-0397",
"authorized_official_credential": "MT MS"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LABORATORIO CLINICO QUIMICO QUIMED",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Juan, PR
- Angelica Maria Quiles
- Nicole Marie Quiles, PHARM D
- Tania Esther Quiles
- Alejandro Quilichini Oliver, M.D.
- Jose L Quilichini, M.D.
- Quimio Amb Dr Raul Morales Borges
- Quimio Ambulatoria Dr. Jose a. Marques Bibiloni
- Gretchen Quinones Barbosa, M.D.
- Ernesto Pablo Quinones Gonzalez, MD
- Ayeisha M. Quinones Rivera, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.