Bethzaida Matias Laboratorio Clinico Tu Salud

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

40D2007082 Issued in PR

Legal business name

BETHZAIDA MATIAS LABORATORIO CLINICO TU SALUD

Practice address

Carr 417 KM 4.2
Bo Mamey
Aguada, PR 00602

Phone

(787) 868-3884

Fax

(787) 868-3884

NPI assigned

Oct 13, 2010

Organization subpart

No

Name

Bethzaida Matias, MT

Title

Owner/Medical Technologist

Phone

(787) 868-3884

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bethzaida Matias Roman, M.T.

  • Clinical Medical Laboratory
  • Aguada, PR
  • NPI 1043526791
  NPD

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 13, 2010.

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1306156310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2023",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006022023",
            "telephone_number": "787-868-3884",
            "fax_number": "787-868-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 417 KM 4.2",
            "address_2": "BO MAMEY",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-868-3884",
            "fax_number": "787-868-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHZAIDA MATIAS LABORATORIO CLINICO TU SALUD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "MATIAS",
        "authorized_official_first_name": "BETHZAIDA",
        "authorized_official_title_or_position": "OWNER/MEDICAL TECHNOLOGIST",
        "authorized_official_telephone_number": "787-868-3884",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "40D2007082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo Baez-Muniz, PH.D.
• Sheila Barreto, MT
• Teyshka Margarita Bassatt-Cabrera, MD
• Elisnel Bermudez Valentin
• Carmen Lizzette Betancourt Muniz, P.T.
• Wilmarys Bonilla Benique
• John Michael Bonilla Hernandez, DPT
• Pablo Carlos Bonilla Soto, (MD)
• Bonilla Transport Services Inc.
• Mabel M. Bonilla, M.D.

• All providers in Aguada, PR
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.