Individual provider Active NPI

Miriam Perez, LCDA.

  • Clinical Medical Laboratory
  • Aguadilla, PR
National Provider Identifier
1295991032
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
5027 Issued in PR
Practice address
HC 7 Box 35436
Aguadilla, PR 00603-9433
Phone
(787) 450-2343
Fax
(787) 830-7605
NPI assigned
Jul 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 5027 PR Primary

Addresses

Primary practice location

HC 7 Box 35436
Aguadilla, PR 00603-9433

Mailing address

7351 Ave Agustin Ramos Calero
Isabela, PR 00662-5206
Phone (787) 450-2343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5027PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratorio Clinico Isamar, Inc. Clinical Medical Laboratory Current Accepting new patients

Locations

7351 Ave Sfc Agustin Ramos Calero
Isabela, PR 00662
Phone (787) 830-7605

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1295991032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7351 AVE AGUSTIN RAMOS CALERO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006625206",
            "telephone_number": "787-450-2343",
            "fax_number": "787-830-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 7 BOX 35436",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039433",
            "telephone_number": "787-450-2343",
            "fax_number": "787-830-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MIRIAM",
        "credential": "LCDA.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "5027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

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