Ammvr Group, Inc
Organization Active NPI Clinical Medical Laboratory · Hato Rey, PR
NPI 1447477252 · NPPES record last updated Apr 2, 2024
Key facts
- NPI
- 1447477252
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 268 (PR)
- Legal business name
- AMMVR GROUP, INC
- Practice address
- 724 Ave Ponce de Leon
Hato Rey, PR 00919 - Phone
- (787) 999-2990
- Fax
- (787) 764-8809
- NPI assigned
- Apr 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Jesus Urbano Martinez
- Title
- Administrator
- Phone
- (787) 799-2990
Corporate family (same tax ID) 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080319000426 | PR | Part B Supplier - Independent Clinical Laboratory | 3173609997 | Practice locations: San Juan, PR; Toa Baja, PR |
National Provider Directory
- Tax ID family
- Ammvr Group Inc
Locations
562 Munoz Rivera
San Juan, PR 00918
Phone (787) 999-2990
724 Ave Ponce de Leon
San Juan, PR 00918
Phone (787) 765-2585
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 268 | PR | Yes |
Addresses
Primary practice location
724 Ave Ponce de Leon
Hato Rey, PR 00919
Mailing address
562 Munoz Rivera
San Juan, PR 00918-3610
Phone (787) 999-2990
Other names
- IMRL CLINICAL LAB
Other providers in Hato Rey, PR
- All Medical Examiners
- Mariel Almonte-Rivera
- Genesis Almonte I
- Anibelle Altieri
- Elena Alvarez Westwood
- Gizel Andreu
- Apa Healthcare Corp
- Raquel Arce Gonzalez
- Vera Louro Arena
- Carlos A. Ariza
All providers in Hato Rey, 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 Apr 2, 2024. 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.