Organization Active NPI

Polysomnography & Multiple Testing Services

  • Physiological Laboratory
  • Yauco, PR
National Provider Identifier
1265514111
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
POLYSOMNOGRAPHY & MULTIPLE TESTING SERVICES
Practice address
Carr. 128 KM. 2.1
Hospital Metropolitano Dr. Tito Mattei Suite 105
Yauco, PR 00698
Phone
(787) 856-1000
Fax
(787) 856-1000
NPI assigned
Oct 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gilberto Monriog Jimenez, CRT
Title
President
Phone
(787) 856-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

Carr. 128 KM. 2.1
Hospital Metropolitano Dr. Tito Mattei Suite 105
Yauco, PR 00698

Mailing address

Carr. 128 KM. 2.1
Hospital Metropolitano Dr. Tito Mattei Suite 105
Yauco, PR 00698
Phone (787) 856-1000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265514111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR. 128 KM. 2.1",
            "address_2": "HOSPITAL METROPOLITANO DR. TITO MATTEI SUITE 105",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-856-1000",
            "fax_number": "787-856-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 128 KM. 2.1",
            "address_2": "HOSPITAL METROPOLITANO DR. TITO MATTEI SUITE 105",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-856-1000",
            "fax_number": "787-856-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLYSOMNOGRAPHY & MULTIPLE TESTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_middle_name": "MONRIOG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-856-1000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.