Organization Active NPI

Servicios de Patologia de Manati, PSC

  • Clinical Medical Laboratory
  • Manati, PR
National Provider Identifier
1174837488
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
13598 Issued in PR
Legal business name
SERVICIOS DE PATOLOGIA DE MANATI, PSC
Practice address
1 Calle Jose Candelas
Manati Medical Plaza Suite 101
Manati, PR 00674-5507
Phone
(787) 221-0171
NPI assigned
Jul 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Dr. Javier J Rodriguez-Becerra, M.D.
Title
Doctor
Phone
(787) 403-0586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 13598 PR Primary

Addresses

Primary practice location

1 Calle Jose Candelas
Manati Medical Plaza Suite 101
Manati, PR 00674-5507

Mailing address

400 Calle Kalaf
PMB 59
San Juan, PR 00918-1314
Phone (787) 221-0171

National Provider Directory

National Provider Directory
Tax ID family
Servicios de Patologia de Manati PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1 Calle Jose D Candelas
Ste 101
Manati, PR 00674
Phone (787) 221-0171

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1174837488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CALLE KALAF",
            "address_2": "PMB 59",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181314",
            "telephone_number": "787-221-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE JOSE CANDELAS",
            "address_2": "MANATI MEDICAL PLAZA SUITE 101",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745507",
            "telephone_number": "787-221-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS DE PATOLOGIA DE MANATI, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-BECERRA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-403-0586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "13598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.