Organization Active NPI

Morovis Community Health Center Inc

  • Clinical Medical Laboratory
  • Toa Baja, PR
National Provider Identifier
1174120844
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MOROVIS COMMUNITY HEALTH CENTER INC
Practice address
Bo. Candelaria Sector Pajaros
PR 863 KM 1.0
Toa Baja, PR 00949
Phone
(939) 336-8000
Fax
(787) 862-2731
NPI assigned
Oct 6, 2020
Last updated
Oct 6, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
MOROVIS COMMUNITY HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lirio Antonia Diaz
Title
Executive Assistant
Phone
(787) 862-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Bo. Candelaria Sector Pajaros
PR 863 KM 1.0
Toa Baja, PR 00949

Mailing address

PO Box 518
Morovis, PR 00687-0518
Phone (787) 862-3000

Other names 1

  • Laboratorio Clinico Toa Baja - MCHC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050323000636 PR Part B Supplier - Independent Clinical Laboratory 0648224501 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Morovis, PR; Toa Baja, PR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Morovis Communhealth Cter15 organizations share this tax ID, including this one
Part of
Morovis Communhealth Cter

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1174120844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006870518",
            "telephone_number": "787-862-3000",
            "fax_number": "787-862-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. CANDELARIA SECTOR PAJAROS",
            "address_2": "PR 863 KM 1.0",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "939-336-8000",
            "fax_number": "787-862-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOROVIS COMMUNITY HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOROVIS COMMUNITY HEALTH CENTER INC",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "LIRIO",
        "authorized_official_middle_name": "ANTONIA",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "787-862-3000"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Toa Baja - MCHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.