Organization Active NPI

Visalmary Clinical Laboratory

  • Clinical Medical Laboratory
  • Arecibo, PR
National Provider Identifier
1295856904
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
998 Issued in PR
Legal business name
VISALMARY CLINICAL LABORATORY
Practice address
Carr.638 KM 6.0
Bo.Miraflores
Arecibo, PR 00616
Phone
(178) 781-6225
Fax
(787) 816-2414
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Mr. Jesus A Diaz, LCDO
Title
Owner
Phone
(787) 816-2251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 998 PR Primary

Addresses

Primary practice location

Carr.638 KM 6.0
Bo.Miraflores
Arecibo, PR 00616

Mailing address

PO Box 30000
PMB 8001
Sabana Hoyos, PR 00688-8001
Phone (178) 781-6225

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1295856904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30000",
            "address_2": "PMB 8001",
            "city": "SABANA HOYOS",
            "state": "PR",
            "postal_code": "006888001",
            "telephone_number": "178-781-6225",
            "fax_number": "787-816-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR.638 KM 6.0",
            "address_2": "BO.MIRAFLORES",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00616",
            "telephone_number": "178-781-6225",
            "fax_number": "787-816-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISALMARY CLINICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "17878162251",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCDO"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.