Active NPI
Nancy Williams Maltes PSC
- Clinical Medical Laboratory
- Ponce, PR
National Provider Identifier
1417367681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 704
- Legal business name
- NANCY WILLIAMS MALTES PSC
- Practice address
- 1128 Ave Munoz Rivera
Rpto. Universitario
Ponce, PR 00717-0643 - Phone
- (787) 848-0405
- Fax
- (787) 290-3535
- NPI assigned
- Apr 28, 2014
- 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
- Nancy Williams, M.T.
- Title
- President
- Phone
- (787) 848-0405
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 704 | PR | Primary |
Addresses
Primary practice location
1128 Ave Munoz Rivera
Rpto. Universitario
Ponce, PR 00717-0643
Mailing address
PO Box 10038
Ponce, PR 00732-0038
Phone (787) 848-0405
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7310078 | Other | HUMANA | |
| 3099 | Other | PR | IMC |
| 660423616 | Other | PR | HUMANA GOLD PLAN |
| 800218 | Other | MMM | |
| 30579 | Other | PR | SSS |
| 400305 | Other | PREFERRED HEALTH PLAN |
Other names 1
- LABORATORIO CLINICO WILLIAMS
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Technologist
- Ponce, PR
- NPI 1801118575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657756800000",
"number": "1417367681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10038",
"city": "PONCE",
"state": "PR",
"postal_code": "007320038",
"telephone_number": "787-848-0405",
"fax_number": "787-290-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 AVE MUNOZ RIVERA",
"address_2": "RPTO. UNIVERSITARIO",
"city": "PONCE",
"state": "PR",
"postal_code": "007170643",
"telephone_number": "787-848-0405",
"fax_number": "787-290-3535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NANCY WILLIAMS MALTES PSC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-28",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-848-0405",
"authorized_official_credential": "M.T."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "704",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "7310078",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMC",
"identifier": "3099",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA GOLD PLAN",
"identifier": "660423616",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "800218",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "30579",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH PLAN",
"identifier": "400305",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LABORATORIO CLINICO WILLIAMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.