Organization Active NPI

Centro Senologia Dra Magda Costa

  • Clinical Medical Laboratory
  • Fajardo, PR
National Provider Identifier
1306226899
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CENTRO SENOLOGIA DRA MAGDA COSTA
Practice address
Avenida Conquistador B1
Urbanizacion Veve Calzada
Fajardo, PR 00738-0000
Phone
(787) 860-1642
NPI assigned
Jun 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Magda CostaNPI 1689654139
Title
Propietaria
Phone
(787) 860-1642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Avenida Conquistador B1
Urbanizacion Veve Calzada
Fajardo, PR 00738-0000

Mailing address

Avenida Conquistador B1
Urbanizacion Veve Calzada
Fajardo, PR 00738-0000

Other identifiers 1

IdentifierTypeStateIssuer
0025953OtherMEDICARE

National Provider Directory

National Provider Directory

Locations

B1 Ave El Conquistador
Fajardo, PR 00738
Phone (787) 860-1642

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": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1306226899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVENIDA CONQUISTADOR B1",
            "address_2": "URBANIZACION VEVE CALZADA",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007380000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA CONQUISTADOR B1",
            "address_2": "URBANIZACION VEVE CALZADA",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007380000",
            "telephone_number": "787-860-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO SENOLOGIA DRA MAGDA COSTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "MAGDA",
        "authorized_official_title_or_position": "PROPIETARIA",
        "authorized_official_telephone_number": "787-860-1642"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0025953",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.