Active NPI
Bridget Jarinelle Vazquez, MT
- Clinical Medical Laboratory
- Toa Alta, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 6789
- Practice address
- Calle 1 # 829
Bo Pinas
Toa Alta, PR 00953-1837 - Phone
- (787) 730-7777
- NPI assigned
- Aug 12, 2008
- Last updated
- Aug 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 6789 | PR | Primary |
Addresses
Primary practice location
Calle 1 # 829
Bo Pinas
Toa Alta, PR 00953-1837
Mailing address
RR 14 Box 5334
Bo Dajaos
Bayamon, PR 00956-9711
Phone (787) 730-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081223000621 | PR | Part B Supplier - Independent Clinical Laboratory | 1759443898 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bayamon, PR; Toa Alta, PR |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Laboratorio Clinico Jariselle II
- Clinical Medical Laboratory
- Bayamon, PR
- NPI 1083210470
O20081223000621
-
dba Laboratorio Clinico Jariselle
- Clinical Medical Laboratory
- Toa Alta, PR
- NPI 1154754752
O20081223000621
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6789 | PR | MD | Anesthesiology Physician |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Laboratorio Clinico Jariselle II
- Clinical Medical Laboratory
- Bayamon, PR
- NPI 1083210470
-
dba Laboratorio Clinico Jariselle
- Clinical Medical Laboratory
- Toa Alta, PR
- NPI 1154754752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1316193147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 14 BOX 5334",
"address_2": "BO DAJAOS",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009569711",
"telephone_number": "787-730-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 1 # 829",
"address_2": "BO PINAS",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009531837",
"telephone_number": "787-730-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "BRIDGET",
"middle_name": "JARINELLE",
"name_prefix": "Mrs.",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-12",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "6789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toa Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.