NPIMap

Organization Active NPI

Southern Regional Blood Bank

Doing business as Puerto Rico Blood Bank

  • Blood Bank
  • Ponce, PR
National Provider Identifier
1265819536
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Blood BankTaxonomy code 331L00000X
License
1296 Issued in PR
Legal business name
SOUTHERN REGIONAL BLOOD BANK
Doing business as
Puerto Rico Blood Bank
Practice address
234-A Parque Industrial Sabaneta
Ponce, PR 00716
Phone
(787) 841-8645
Fax
(787) 848-4043
NPI assigned
May 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Dr. Adalberto Mendoza, M. D.
Title
Owner
Phone
(787) 841-8645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Blood Bank 331L00000X 1296 PR Primary

Addresses

Primary practice location

234-A Parque Industrial Sabaneta
Ponce, PR 00716

Mailing address

PO Box 10729
Ponce, PR 00732
Phone (787) 841-8645

Other names 1

  • Puerto Rico Blood Bank Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1265819536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10729",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00732",
            "telephone_number": "787-841-8645",
            "fax_number": "787-848-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234-A PARQUE INDUSTRIAL SABANETA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-841-8645",
            "fax_number": "787-848-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN REGIONAL BLOOD BANK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "ADALBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-841-8645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "331L00000X",
            "taxonomy_group": "",
            "desc": "Blood Bank",
            "state": "PR",
            "license": "1296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puerto Rico Blood Bank",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.