Organization Active NPI

Centro de Diagnostico Y Tratamiento

  • Clinical Medical Laboratory
  • Manati, PR
National Provider Identifier
1376761676
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CENTRO DE DIAGNOSTICO Y TRATAMIENTO
Practice address
Carr. # 2 KM 50.0
Manati, PR 00674
Phone
(787) 854-2292
Fax
(787) 854-2092
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Juan Aubin Cruz
Title
Alcalde
Phone
(787) 854-2292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Carr. # 2 KM 50.0
Manati, PR 00674

Mailing address

10 Calle Quinones
Manati, PR 00674-5013
Phone (787) 854-2292

Other identifiers 1

IdentifierTypeStateIssuer
3-0766CLOtherPRTRIPLE-S

National Provider Directory

National Provider Directory
Tax ID family
Centro de Diagnostico Y Tratamiento6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

10 Calle Quinones
Manati, PR 00674
Phone 7878542292250

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376761676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CALLE QUINONES",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745013",
            "telephone_number": "787-854-2292",
            "fax_number": "787-854-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. # 2 KM 50.0",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-854-2292",
            "fax_number": "787-854-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE DIAGNOSTICO Y TRATAMIENTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "AUBIN",
        "authorized_official_title_or_position": "ALCALDE",
        "authorized_official_telephone_number": "787-854-2292",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S",
            "identifier": "3-0766CL",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.