Active NPI
Jaime Tavarez Perez
Doing business as Laboratorio Clinico Anasco
- Clinical Medical Laboratory
- Anasco, PR
National Provider Identifier
1407892060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 690
- 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, 2013
- 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
- Mr. Jaime Tavarez Perez
- Title
- Dueno
- Phone
- (787) 872-3480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.