NPIMap

Organization Active NPI

Inter American University of Puerto Rico

  • Clinical Medical Laboratory
  • San Juan, PR
National Provider Identifier
1356810717
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
INTER AMERICAN UNIVERSITY OF PUERTO RICO
Practice address
Ave. la Cumbres Int. Calle Santa Rosa #1 Urb. San Juan
San Juan, PR 00926
Phone
(787) 250-1912
Fax
(787) 250-0742
NPI assigned
Nov 15, 2018
Last updated
Jun 11, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
INTER AMERICAN UNIVERSITY OF PUERTO RICOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Marilina L. Wayland, MS
Title
Chancellor Inter American Universit
Phone
(787) 250-1912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

Ave. la Cumbres Int. Calle Santa Rosa #1 Urb. San Juan
San Juan, PR 00926

Mailing address

PO Box 191293
San Juan, PR 00919-1293
Phone (787) 250-1912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200612002253 PR Part B Supplier - Independent Clinical Laboratory 5092607424 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Tax ID family
Universidad Interamericana10 organizations share this tax ID, including this one
Part of
Universidad Interamericana

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1356810717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191293",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191293",
            "telephone_number": "787-250-1912",
            "fax_number": "787-250-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. LA CUMBRES INT. CALLE SANTA ROSA #1 URB. SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-250-1912",
            "fax_number": "787-250-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTER AMERICAN UNIVERSITY OF PUERTO RICO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTER AMERICAN UNIVERSITY OF PUERTO RICO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "WAYLAND",
        "authorized_official_first_name": "MARILINA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHANCELLOR INTER AMERICAN UNIVERSIT",
        "authorized_official_telephone_number": "787-250-1912",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.