Organization Active NPI

Lillian I Rivera Ocasio

  • Clinical Medical Laboratory
  • Bayamon, PR
National Provider Identifier
1285038182
Registry record updated Aug 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
473 Issued in PR
Legal business name
LILLIAN I RIVERA OCASIO
Practice address
21-20 Carr 174
Urb Santa Rosa
Bayamon, PR 00959-6512
Phone
(787) 787-1691
Fax
(787) 731-5642
NPI assigned
Oct 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2017

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

Authorized official

Name
Mrs. Lillian I Rivera Ocasio
Title
Administrator
Phone
(787) 378-6957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 473 PR Primary

Addresses

Primary practice location

21-20 Carr 174
Urb Santa Rosa
Bayamon, PR 00959-6512

Mailing address

21-20 Carr 174
Urb Santa Rosa
Bayamon, PR 00959-6512
Phone (787) 787-1691

Other names 1

  • LAB CLINICO DR AGUSTIN STAHL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180125002648 PR Part B Supplier - Independent Clinical Laboratory 2567721228 Practice locations: Bayamon, PR

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": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502409600000",
    "number": "1285038182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21-20 CARR 174",
            "address_2": "URB SANTA ROSA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596512",
            "telephone_number": "787-787-1691",
            "fax_number": "787-731-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21-20 CARR 174",
            "address_2": "URB SANTA ROSA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596512",
            "telephone_number": "787-787-1691",
            "fax_number": "787-731-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIAN I RIVERA OCASIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2017-08-11",
        "status": "A",
        "authorized_official_last_name": "RIVERA OCASIO",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-378-6957",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAB CLINICO DR AGUSTIN STAHL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; 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.