Alcides Oquendo Solis
Organization Active NPI Clinical Medical Laboratory · Humacao, PR
NPI 1457337651 · NPPES record last updated Jul 10, 2013
Key facts
- NPI
- 1457337651
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 791 (PR)
- Legal business name
- ALCIDES OQUENDO SOLIS
- Practice address
- Avenida Munoz Marin #15
Humacao, PR 00791 - Phone
- (787) 852-3394
- Fax
- (787) 852-3394
- NPI assigned
- Dec 20, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Helen Segarra Del Toro
- Title
- Owner
- Phone
- (787) 852-3394
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130722000259 | PR | Part B Supplier - Independent Clinical Laboratory | 6406930353 |
1 other NPI on this enrollment Practice locations: Humacao, PR |
National Provider Directory
- Tax ID family
- Alcides Oquendo Solis
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 791 | PR | Yes |
Addresses
Primary practice location
Avenida Munoz Marin #15
Humacao, PR 00791
Mailing address
Laboratorio Clinico Central
Avenida Font Martelo 350
Humacao, PR 00791
Phone (787) 852-3394
Other names
- Laboratorio Clinico Central
Other providers in Humacao, PR
- Aesthetic Center of Puerto Rco CSP
- Wanda I Agosto Delgado
- Angel David Agosto Rodriguez
- Agumet Inc.
- Isabel Alamo
- Alcides Oquendo Solis
- Stephanie M Alemar Aquino
- Elba Hilda Algarin
- Jessica Alicea Barriera
- Miriam Alicea Calderin
All providers in Humacao, 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 Jul 10, 2013. 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.