Organization Active NPI

Nancy Williams Maltes PSC

  • Clinical Medical Laboratory
  • Ponce, PR
National Provider Identifier
1417367681
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
704 Issued in PR
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

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Nancy Williams, M.T.NPI 1801118575
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7310078OtherHUMANA
3099OtherPRIMC
660423616OtherPRHUMANA GOLD PLAN
800218OtherMMM
30579OtherPRSSS
400305OtherPREFERRED HEALTH PLAN

Other names 1

  • LABORATORIO CLINICO WILLIAMS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.