Carmen S Ortiz, LCDA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

6387 Issued in PR

Practice address

Carr 183 # KM7.7
Bo. Hato
San Lorenzo, PR 00754-4530

Phone

(787) 249-5350

Fax

(787) 736-8838

NPI assigned

Apr 23, 2008

Last updated

Apr 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Laboratorio Clinico El Shaddai,Inc.

  • Clinical Medical Laboratory
  • San Lorenzo, PR
  • NPI 1164696134
  NPD (past) Authorized official

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1174798052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5005 PMB 23",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007545005",
            "telephone_number": "787-249-5350",
            "fax_number": "787-736-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 183 # KM7.7",
            "address_2": "BO. HATO",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007544530",
            "telephone_number": "787-249-5350",
            "fax_number": "787-736-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "CARMEN",
        "middle_name": "S",
        "credential": "LCDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "6387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Andrea Ocasio, PHARMD
• Kristal Ocasio, PHARMD
• Marilu Oliveras Caraballo, BSN
• Optometry World
• Osvaldo Ortiz Roldan Sr.
• Marcos A Parrilla Rios, MD
• Partners in Medicine LLC
• Valeria Cristal Pedraza Baez, LPC
• Elvin B Pena, O.D.
• Lorna I Pena

• Clinical Medical Laboratory in San Lorenzo, PR
• Providers in San Lorenzo, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.