Organization Active NPI

Waleska Z Ruiz Sanchez

  • Clinical Medical Laboratory
  • Aguadilla, PR
National Provider Identifier
1215920988
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1009 Issued in PR
Legal business name
WALESKA Z RUIZ SANCHEZ
Practice address
Carr 107
Bo Borinquen
Aguadilla, PR 00603
Phone
(787) 882-3846
Fax
(787) 882-3846
NPI assigned
Aug 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Waleska Z Ruiz Sanchez
Title
Owner
Phone
(787) 882-3846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1009 PR Primary

Addresses

Primary practice location

Carr 107
Bo Borinquen
Aguadilla, PR 00603

Mailing address

PO Box 250274
Aguadilla, PR 00604-0274
Phone (787) 882-3846

Other names 1

  • Laboratorio Marbella Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100811000154 PR Part B Supplier - Independent Clinical Laboratory 6608900782 Practice locations: Aguadilla, PR

National Provider Directory

National Provider Directory

Locations

300 Marbella Mini Ml
Ste 4
Aguadilla, PR 00603
Phone (787) 882-3846

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1215920988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250274",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006040274",
            "telephone_number": "787-882-3846",
            "fax_number": "787-882-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 107",
            "address_2": "BO BORINQUEN",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-882-3846",
            "fax_number": "787-882-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALESKA Z RUIZ SANCHEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "RUIZ SANCHEZ",
        "authorized_official_first_name": "WALESKA",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-882-3846"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Marbella",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laboratorio Marbella",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.