Organization Active NPI

Fremanor, Inc.

  • Clinical Medical Laboratory
  • Vega Alta, PR
National Provider Identifier
1306922737
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1038 Issued in PR
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

Updated by the provider on Nov 18, 2011

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20040721000111 PR Part B Supplier - Independent Clinical Laboratory 5193705200 Practice locations: Vega Alta, PR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.