Jose a Maiz Dedos

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1193 Issued in PR

Legal business name

JOSE A MAIZ DEDOS

Doing business as

Maiz Clinical Laboratory

Practice address

Carr. # 1 KM. 114.5 Bo Cintrona Sector Singapur
Juana Diaz, PR 00795-9614

Phone

(787) 837-7600

Fax

(787) 837-7600

NPI assigned

Jul 7, 2009

Last updated

Feb 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jose A Maiz Dedos, M.T.

Title

Owner

Phone

(787) 837-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MAIZ CLINICAL LABORATORY Doing business as

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.

• Jose A Maiz, BS MT

  • Clinical Medical Laboratory
  • Juana Diaz, PR
  • NPI 1639404676
  NPD (past)

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1336378777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 02 BOX 10001",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959614",
            "telephone_number": "787-837-7600",
            "fax_number": "787-837-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. # 1 KM. 114.5 BO CINTRONA SECTOR SINGAPUR",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959614",
            "telephone_number": "787-837-7600",
            "fax_number": "787-837-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE A MAIZ DEDOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "MAIZ DEDOS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-837-7600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CARD",
            "identifier": "C722",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIZ CLINICAL LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Juana Diaz, PR
• Providers in Juana Diaz, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.