Meditest Diagnostic

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MEDITEST DIAGNOSTIC

Practice address

700 Calle Dr Pavia Fernandez
Ave. Fernandez Juncos Suite 201
San Juan, PR 00909-2758

Phone

(787) 726-3724

Fax

(787) 726-3724

NPI assigned

Oct 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Juan Carlos Robert

Title

Administrator

Phone

(787) 726-3724

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396826780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8700",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009100700",
            "telephone_number": "787-726-3724",
            "fax_number": "787-726-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CALLE DR PAVIA FERNANDEZ",
            "address_2": "AVE. FERNANDEZ JUNCOS SUITE 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092758",
            "telephone_number": "787-726-3724",
            "fax_number": "787-726-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDITEST DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERT",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-726-3724",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Luis Medina, M.D.
• Yamil Malave Medina, PSY, D.
• Medipeds LLC
• Mediser-Mefdicina Interna, Corp.
• Meditech3 Clinical Laboratories Inc
• Medivida
• Medlar Medical Services C S P
• Medplus Health Services LLC
• Medscan
• Medx Community Clinics

• Physiological Laboratory in San Juan, PR
• Providers in San Juan, PR by specialty
• Physiological Laboratory in Puerto Rico

• 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.