Active NPI
Mildred del C Algarin Aviles
- Clinical Medical Laboratory
- Morovis, PR
National Provider Identifier
1366500746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 3181
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mildred Del C Algarin, BSMT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31041 | Other | PR | TRIPLE-S PROVIDER NUMBER |
Other names 1
- LABORATORIO CLINICO MOROVIS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081125000092 | PR | Part B Supplier - Independent Clinical Laboratory | 1456411263 | Practice locations: Morovis, PR |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Medical Technologist
- Morovis, PR
- NPI 1285888529
Clinical Medical Laboratory
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.