NPIMap

Organization Active NPI

Laboratorios del Sueno de Puerto Rico

  • Sleep Medicine (Internal Medicine) Physician
  • Mayaguez, PR
National Provider Identifier
1497891097
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
LABORATORIOS DEL SUENO DE PUERTO RICO
Practice address
55 Calle de Diego E
Suite 405
Mayaguez, PR 00680-5078
Phone
(787) 986-7010
Fax
(787) 265-4335
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Antonio M Padua, MD
Title
Partner
Phone
(787) 986-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X Primary

Addresses

Primary practice location

55 Calle de Diego E
Suite 405
Mayaguez, PR 00680-5078

Mailing address

CPR Prof BLDG 55 de Diego E
Suite 405
Mayaguez, PR 00680-5081
Phone (787) 986-7010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160404002388 PR Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4587961610 Practice locations: Mayaguez, PR

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Laboratorios del Sueno de Puerto Rico4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1497891097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CPR PROF BLDG 55 DE DIEGO E",
            "address_2": "SUITE 405",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805081",
            "telephone_number": "787-986-7010",
            "fax_number": "787-265-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE DE DIEGO E",
            "address_2": "SUITE 405",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805078",
            "telephone_number": "787-986-7010",
            "fax_number": "787-265-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIOS DEL SUENO DE PUERTO RICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "PADUA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "787-986-7010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.