Nimar V & M, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NIMAR V & M, INC

Doing business as

Amelia Clinical Lab

Practice address

59 Ave Ponce de Leon
Bo Amelia
Guaynabo, PR 00965-5618

Phone

(787) 644-8215

NPI assigned

May 15, 2008

Last updated

May 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carmen V Ortiz, MEDICAL TECHNOLOGIST

Title

Vice President

Phone

(787) 644-8215

Specialties & licenses 1

Addresses

Other names 1

• Amelia Clinical Lab Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1245407527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 CARR 8860 APT 2603",
            "address_2": "CAMINO DE LA REINA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009765444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 AVE PONCE DE LEON",
            "address_2": "BO AMELIA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009655618",
            "telephone_number": "787-644-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMAR V & M, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "787-644-8215",
        "authorized_official_credential": "MEDICAL TECHNOLOGIST"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amelia Clinical Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lourdes Nieves-Vazquez, M.D.
• Ivelisse Nieves
• Lourdes Nieves
• Marina Nieves
• Myrna R Nieves, MD
• Waldemar Nogueras Velez, 0333B
• Nova Infusion & Compounding Pharmacy Corp
• Nova Neuro Psychology LLC
• Alejandra Novoa Arcelay, PHARM.D
• Nuclear Scan PSC

• Clinical Medical Laboratory in Guaynabo, PR
• Providers in Guaynabo, 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 May 15, 2008; 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.