NPIMap

Organization Active NPI

CDT Centro de Servicios Medicos Integrados Inc.

  • Clinical Medical Laboratory
  • Bayamon, PR
National Provider Identifier
1487895314
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
92 Issued in PR
Legal business name
CDT CENTRO DE SERVICIOS MEDICOS INTEGRADOS INC.
Practice address
59 Calle Santa Cruz
4To Piso
Bayamon, PR 00961-6900
Phone
(787) 778-0315
Fax
(787) 778-0330
NPI assigned
Mar 24, 2009
Organization subpart
Yes
Parent organization
CDT CENTRO DE SERVICIOS MEDICOS INTEGRADOSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Dr. Hector Jesus Candelas Rodriguez, MD
Title
President
Phone
(787) 778-0315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 92 PR Primary

Addresses

Primary practice location

59 Calle Santa Cruz
4To Piso
Bayamon, PR 00961-6900

Mailing address

PO Box 6598
Bayamon, PR 00960-5598
Phone (787) 778-0315

Other names 1

  • Laboratorio Clinico Cesmi Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110302000395 PR Part B Supplier - Independent Clinical Laboratory 5092996652 Practice locations: Bayamon, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
CDT Centro de Servicios Medicos Integrados5 organizations share this tax ID, including this one
Part of
CDT Centro de Servicios Medicos Integrados

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 12

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": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1487895314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6598",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009605598",
            "telephone_number": "787-778-0315",
            "fax_number": "787-778-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 CALLE SANTA CRUZ",
            "address_2": "4TO PISO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616900",
            "telephone_number": "787-778-0315",
            "fax_number": "787-778-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT CENTRO DE SERVICIOS MEDICOS INTEGRADOS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CDT CENTRO DE SERVICIOS MEDICOS INTEGRADOS",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "CANDELAS RODRIGUEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "JESUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-778-0315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "92",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Cesmi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.