Angela Enid Fumero, M.T.

Individual provider Active NPI Clinical Medical Laboratory · Yauco, PR

NPI 1164594172 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1164594172
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Medical Laboratory 291U00000X
License
0340 (PR)
Practice address
49 Calle Luis Munoz Rivera
Yauco, PR 00698-3233
Phone
(787) 856-0580
Fax
(787) 856-0580
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
0340PRMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Angela E Fumero Paneto Clinical Medical Laboratory Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 0340 PR Yes

Addresses

Primary practice location

49 Calle Luis Munoz Rivera
Yauco, PR 00698-3233

Mailing address

49 Calle Luis Munoz Rivera
Yauco, PR 00698-3233
Phone (787) 856-0580

Other providers in Yauco, PR

All providers in Yauco, PR · Clinical Medical Laboratory in Puerto Rico

Sources for this page

Verify at the official NPI Registry.