NPIMap

Organization Active NPI

Laboratorio Clinico Munoz Rivera

  • Clinical Medical Laboratory
  • Ponce, PR
National Provider Identifier
1508089152
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
752 Issued in PR
Legal business name
LABORATORIO CLINICO MUNOZ RIVERA
Practice address
1266 Ave Munoz Rivera
Ponce, PR 00716
Phone
(787) 840-0004
Fax
(787) 840-0004
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Mr. William Guzman, PHD
Title
Lab Director
Phone
(787) 840-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 752 PR Primary

Addresses

Primary practice location

1266 Ave Munoz Rivera
Ponce, PR 00716

Mailing address

1266 Ave Munoz Rivera
Ponce, PR 00717-0642
Phone (787) 840-0004

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1508089152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 AVE MUNOZ RIVERA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170642",
            "telephone_number": "787-840-0004",
            "fax_number": "787-840-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 AVE MUNOZ RIVERA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-840-0004",
            "fax_number": "787-840-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO MUNOZ RIVERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "787-840-0004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.