Robindranath Perez Diaz, M.T.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

701 Issued in PR

Practice address

130 Rd K.M. 11.6 Campo Alegre WD
Hatillo, PR 00659

Phone

(787) 820-5371

Fax

(787) 820-5371

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Robindranath Perez

  • Clinical Medical Laboratory
  • Hatillo, PR
  • NPI 1942328059

  O20070817000397

  Same enrollment

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Laboratorio Clinico del Bo. Corcobada, Inc.

  • Clinical Medical Laboratory
  • Hatillo, PR
  • NPI 1679698542
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1295859783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140267",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140267",
            "telephone_number": "787-820-5371",
            "fax_number": "787-820-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 RD K.M. 11.6 CAMPO ALEGRE WD",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-820-5371",
            "fax_number": "787-820-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ DIAZ",
        "first_name": "ROBINDRANATH",
        "credential": "M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul Otoman Sr., MD
• Lorna Padin
• Marie Carmen Padin, MD
• Jan Emmanuel Perez Cajigas
• Shakira Perez Chico
• Lizzette Perez Fernandez
• Adrian Perez Medina, MD
• Rafael Perez Molina
• Obed Perez Reyes, NL
• Veva Perez Reyes

• Clinical Medical Laboratory in Hatillo, PR
• Providers in Hatillo, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.