Organization Active NPI

Mildred del C Algarin Aviles

  • Clinical Medical Laboratory
  • Morovis, PR
National Provider Identifier
1366500746
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
3181 Issued in PR
Legal business name
MILDRED DEL C ALGARIN AVILES
Doing business as
LABORATORIO CLINICO MOROVIS
Practice address
Calle del Carmen #20
Morovis, PR 00687
Phone
(787) 862-0500
Fax
(787) 862-0400
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Mrs. Mildred Del C Algarin, BSMTNPI 1285888529
Title
Owner
Phone
(787) 862-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 3181 PR Primary

Addresses

Primary practice location

Calle del Carmen #20
Morovis, PR 00687

Mailing address

PO Box 455
Morovis, PR 00687
Phone (787) 862-0500

Other identifiers 1

IdentifierTypeStateIssuer
31041OtherPRTRIPLE-S PROVIDER NUMBER

Other names 1

  • LABORATORIO CLINICO MOROVIS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081125000092 PR Part B Supplier - Independent Clinical Laboratory 1456411263 Practice locations: Morovis, PR

National Provider Directory

National Provider Directory

Locations

20 Calle del Carmen
Morovis, PR 00687
Phone (787) 862-0500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1366500746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "00687",
            "telephone_number": "787-862-0500",
            "fax_number": "787-862-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DEL CARMEN #20",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "00687",
            "telephone_number": "787-862-0500",
            "fax_number": "787-862-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILDRED DEL C ALGARIN AVILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "ALGARIN",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "DEL C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-862-0500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSMT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "3181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S PROVIDER NUMBER",
            "identifier": "31041",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO MOROVIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morovis, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.