Active NPI
Fremanor, Inc.
- Clinical Medical Laboratory
- Vega Alta, PR
National Provider Identifier
1306922737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 1038
- Legal business name
- FREMANOR, INC.
- Practice address
- Centro Gran Caribe Mall
Second Level Office 205
Vega Alta, PR 00692 - Phone
- (787) 270-1717
- NPI assigned
- Oct 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Norma H Collazo, M.T.
- Title
- Administrator/M.T.
- Phone
- (787) 270-1717
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 1038 | PR | Primary |
Addresses
Primary practice location
Centro Gran Caribe Mall
Second Level Office 205
Vega Alta, PR 00692
Mailing address
PO Box 3031
Vega Alta, PR 00692-3031
Phone (787) 270-1717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040721000111 | PR | Part B Supplier - Independent Clinical Laboratory | 5193705200 | Practice locations: Vega Alta, PR |
National Provider Directory
National Provider DirectoryLocations
100 Carr 678
Ste 205
Vega Alta, PR 00692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321574400000",
"number": "1306922737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3031",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "006923031",
"telephone_number": "787-270-1717",
"fax_number": "787-270-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CENTRO GRAN CARIBE MALL",
"address_2": "SECOND LEVEL OFFICE 205",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "787-270-1717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREMANOR, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2011-11-18",
"status": "A",
"authorized_official_last_name": "COLLAZO",
"authorized_official_first_name": "NORMA",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "ADMINISTRATOR/M.T.",
"authorized_official_telephone_number": "787-270-1717",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.T."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "1038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vega Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.