Organization Active NPI

Nancy E Williams Maltes

Doing business as Laboratorio Clinico Williams

  • Clinical Medical Laboratory
  • Ponce, PR
National Provider Identifier
1326020678
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
704 Issued in PR
Legal business name
NANCY E WILLIAMS MALTES
Doing business as
Laboratorio Clinico Williams
Practice address
1128 Ave Munoz Rivera
Ponce, PR 00717-0643
Phone
(787) 848-0405
Fax
(787) 290-3535
NPI assigned
Nov 14, 2005
Last updated
Sep 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Nancy E Williams Maltes, M.T.
Title
Director
Phone
(787) 848-0405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 704 PR Primary

Addresses

Primary practice location

1128 Ave Munoz Rivera
Ponce, PR 00717-0643

Mailing address

PO Box 10038
Ponce, PR 00732-0038
Phone (787) 848-0405

Other identifiers 10

IdentifierTypeStateIssuer
800218OtherPRMMM
3099OtherPRIMC
051300OtherPRCRUZ AZUL
583940508OtherPRMAPFRE
660429616OtherPRFIRST PLUS ADVANCE
583940508OtherPRMCS
7310078OtherPRHUMANA
400305OtherPRPREFERRED HEALTH PLAN
30579OtherPRSSS
39893OtherPRASOCIACION DE MAESTROS

Other names 1

  • Laboratorio Clinico Williams Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1326020678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10038",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007320038",
            "telephone_number": "787-848-0405",
            "fax_number": "787-290-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 AVE MUNOZ RIVERA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170643",
            "telephone_number": "787-848-0405",
            "fax_number": "787-290-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY E WILLIAMS MALTES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS MALTES",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-848-0405",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "800218",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC",
            "identifier": "3099",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "051300",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAPFRE",
            "identifier": "583940508",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PLUS ADVANCE",
            "identifier": "660429616",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS",
            "identifier": "583940508",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "7310078",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH PLAN",
            "identifier": "400305",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "30579",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASOCIACION DE MAESTROS",
            "identifier": "39893",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Williams",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.