Organization Active NPI

Jaime Tavarez Perez

Doing business as Laboratorio Clinico Anasco

  • Clinical Medical Laboratory
  • Anasco, PR
National Provider Identifier
1407892060
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
690 Issued in PR
Legal business name
JAIME TAVAREZ PEREZ
Doing business as
Laboratorio Clinico Anasco
Practice address
Calle Daguey # 58
Anasco, PR 00610-0000
Phone
(787) 826-3072
Fax
(787) 826-3072
NPI assigned
Jun 21, 2006
Last updated
Nov 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Mr. Jaime Tavarez Perez
Title
Dueno
Phone
(787) 872-3480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 690 PR Primary

Addresses

Primary practice location

Calle Daguey # 58
Anasco, PR 00610-0000

Mailing address

PO Box 956
Isabela, PR 00662-0956
Phone (787) 872-3480

Other names 1

  • LABORATORIO CLINICO ANASCO Doing business as

National Provider Directory

National Provider Directory

Locations

58 Calle Daguey
Anasco, PR 00610
Phone (787) 826-3072

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1407892060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 956",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620956",
            "telephone_number": "787-872-3480",
            "fax_number": "787-872-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DAGUEY # 58",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006100000",
            "telephone_number": "787-826-3072",
            "fax_number": "787-826-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME TAVAREZ PEREZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "TAVAREZ PEREZ",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "DUENO",
        "authorized_official_telephone_number": "787-872-3480",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO ANASCO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anasco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.