NPIMap

Organization Active NPI

University Pathology Associates, PCS

  • Clinical Medical Laboratory
  • San Juan, PR
National Provider Identifier
1275521098
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
90B Issued in PR
Legal business name
UNIVERSITY PATHOLOGY ASSOCIATES, PCS
Practice address
Hospital Auxilio Mutuo 3ER Piso
Edificio Viejo
San Juan, PR 00917
Phone
(787) 753-5336
Fax
(787) 753-5337
NPI assigned
Oct 6, 2005
Last updated
Oct 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
Mr. Wilfred Reyes
Title
Administrator
Phone
(787) 250-0251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 90B PR Primary

Addresses

Primary practice location

Hospital Auxilio Mutuo 3ER Piso
Edificio Viejo
San Juan, PR 00917

Mailing address

PO Box 21380
San Juan, PR 00928
Phone (787) 250-0251

Other identifiers 4

IdentifierTypeStateIssuer
100583OtherPRCRUZ AZUL PROVIDER NUMBER
9170513OtherPRHUMANA PROVIDER NUMBER
84921OtherPRTRIPLE-S, INC. PROVIDER #
821486OtherPRMMM PROVIDER NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1275521098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21380",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00928",
            "telephone_number": "787-250-0251",
            "fax_number": "787-250-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL AUXILIO MUTUO 3ER PISO",
            "address_2": "EDIFICIO VIEJO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-753-5336",
            "fax_number": "787-753-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PATHOLOGY ASSOCIATES, PCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "WILFRED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-250-0251",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "90B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL PROVIDER NUMBER",
            "identifier": "100583",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER NUMBER",
            "identifier": "9170513",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S, INC. PROVIDER #",
            "identifier": "84921",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM PROVIDER NUMBER",
            "identifier": "821486",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.