Trixymar Inc
Organization Active NPI Clinical Medical Laboratory · Maunabo, PR
NPI 1437310653 · NPPES record last updated Jun 28, 2021
Key facts
- NPI
- 1437310653
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 1230 (PR)
- Legal business name
- TRIXYMAR INC
- Practice address
- 17 Calle Luis Munoz Rivera
Maunabo, PR 00707-2147 - Phone
- (787) 861-1111
- Fax
- (787) 861-4444
- NPI assigned
- Jun 20, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Luis Diaz-Vega Sr.
- Title
- Administrador
- Phone
- (787) 861-1111
Other NPIs on the same Medicare enrollment 2
Subparts reporting this organization as parent 3
Corporate family (same tax ID) 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110210000194 | PR | Part B Supplier - Independent Clinical Laboratory | 8527248434 |
2 other NPIs on this enrollment Practice locations: Arroyo, PR; Humacao, PR; Maunabo, PR |
National Provider Directory
- Tax ID family
- Trixymar Inc
Locations
17 Calle Luis Munoz Rivera
Maunabo, PR 00707
Phone (787) 861-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 1230 | PR | Yes |
Addresses
Primary practice location
17 Calle Luis Munoz Rivera
Maunabo, PR 00707-2147
Mailing address
PO Box 97
Maunabo, PR 00707-0097
Phone (787) 861-1111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EL541A | Other | PR | MEDICARE ID |
Other names
- Laboratorio Clinico y Bacteriologico Trixymar
Other providers in Maunabo, PR
- SE Primary Care Services CSP
- Servicios Psicologicos Y Educativos Shalom
- Cristina T Torres-Marrero
- Pedro Manuel Torres-Morales
- Lilliana Torres
- Tu Farmacia Familiar Lilly Inc
- Rosa I Vega
- Maria Velez
All providers in Maunabo, PR · Clinical Medical Laboratory in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.