Active NPI
Carlos J Febles Mena
- Clinical Medical Laboratory
- Orocovis, PR
National Provider Identifier
1386889210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 1048
- Practice address
- Carretera #155 KM 31.5
Bo. Gato
Orocovis, PR 00720 - Phone
- (787) 867-3007
- Fax
- (787) 867-3007
- NPI assigned
- Dec 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 1048 | PR | Primary |
| Clinical Medical Laboratory | 291U00000X | 993 | PR |
Addresses
Primary practice location
Carretera #155 KM 31.5
Bo. Gato
Orocovis, PR 00720
Mailing address
Estrella del Mar M-10
Dorado del Mar
Dorado, PR 00646
Phone (787) 647-2910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060605000194 | PR | Part B Supplier - Independent Clinical Laboratory | 5597776625 | Practice locations: Orocovis, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1048 | PR | MD | Clinical Medical Laboratory |
| 993 | PR | MD | Clinical Medical Laboratory |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1386889210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ESTRELLA DEL MAR M-10",
"address_2": "DORADO DEL MAR",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "787-647-2910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA #155 KM 31.5",
"address_2": "BO. GATO",
"city": "OROCOVIS",
"state": "PR",
"postal_code": "00720",
"telephone_number": "787-867-3007",
"fax_number": "787-867-3007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEBLES MENA",
"first_name": "CARLOS",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-05",
"last_updated": "2015-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "1048",
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "993",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orocovis, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.