Organization Active NPI

Quimed Corp

  • Clinical Medical Laboratory
  • San Juan, PR
National Provider Identifier
1144208216
Registry record updated Mar 11, 2010
On this page

Key facts

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

Updated by the provider on Mar 11, 2010

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130114000149 PR Part B Supplier - Independent Clinical Laboratory 1850544370 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.