Fabinael Medical Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1094 Issued in PR

Legal business name

FABINAEL MEDICAL CORP

Practice address

Carr 2 Marginal KM 123.6 Urb Cristal
Aguadilla, PR 00603

Phone

(787) 882-5915

NPI assigned

Dec 9, 2009

Last updated

Jun 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jenice Ayala

Title

President

Phone

(787) 882-5915

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ivan Loperena, PROPIETARY

  • Case Manager/Care Coordinator
  • Aguadilla, PR
  • NPI 1447427240
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1447589106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5291",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006055291",
            "telephone_number": "787-882-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 MARGINAL KM 123.6 URB CRISTAL",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-882-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABINAEL MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "JENICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-882-5915",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor J Estrella Salas
• Express Pharmacy Inc (Esteves Espress Pharmacy)
• Eye Land Optical Inc
• Eye Zone Aguadilla LLC (Eye Zone)
• Eyes MD, PSC
• Leyre Ainara Falto Aizpurua, M.D.
• Pedro C Falto Detres, MD
• Naiara Onintza Falto, PSYD
• Family Pharmacy, Inc
• Hipolito Fantauzzi-Ortiz, DMD

• Clinical Medical Laboratory in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.