Organization Active NPI

Laboratorio del Sueno Inc

  • Specialist
  • Bayamon, PR
National Provider Identifier
1295844553
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3000 Issued in PR
Legal business name
LABORATORIO DEL SUENO INC
Practice address
100 Paseo San Pablo
Edificio Arturo Cadilla Suite 206
Bayamon, PR 00961-7022
Phone
(787) 786-8196
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Dr. Crispulo M Rivera, MD
Title
President
Phone
(787) 786-8196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 3000 PR Primary

Addresses

Primary practice location

100 Paseo San Pablo
Edificio Arturo Cadilla Suite 206
Bayamon, PR 00961-7022

Mailing address

100 Paseo San Pablo
Edificio Arturo Cadilla Suite 206
Bayamon, PR 00961-7022
Phone (787) 786-8196

Other names 1

  • san pablo sleep disorders center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041229000570 PR Part B Supplier - Clinic/Group Practice 3779541370 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Locations

100 Paseo San Pablo
Ste 206
Bayamon, PR 00961
Phone (787) 786-8196

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1295844553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PASEO SAN PABLO",
            "address_2": "EDIFICIO ARTURO CADILLA SUITE 206",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617022",
            "telephone_number": "787-786-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PASEO SAN PABLO",
            "address_2": "EDIFICIO ARTURO CADILLA SUITE 206",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617022",
            "telephone_number": "787-786-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO DEL SUENO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "CRISPULO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-786-8196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "3000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "san pablo sleep disorders center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 5, 2012; 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.