Active NPI
Alex Muniz Alfonso
- Clinical Medical Laboratory
- Aguadilla, PR
National Provider Identifier
1508884545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 1036
- Legal business name
- ALEX MUNIZ ALFONSO
- Practice address
- Carr. 459 K.M. 3.9
Camaseyes
Aguadilla, PR 00603 - Phone
- (787) 997-5229
- Fax
- (787) 997-5229
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Alex Muniz, M.T.
- Title
- President
- Phone
- (787) 997-5229
Corporate family (same tax ID) 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Aguadilla, PR
- NPI 1023497435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120917000678 | PR | Part B Supplier - Independent Clinical Laboratory | 1951559947 | Practice locations: Aguadilla, PR |
National Provider Directory
National Provider Directory- Tax ID family
- Alex Muniz Alfonso
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 1036 | PR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
Carr. 459 K.M. 3.9
Camaseyes
Aguadilla, PR 00603
Mailing address
2704 Rio Hondo
Mayaguez, PR 00680
Phone (787) 997-5229
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031253 | Other | PR | PTAN |
Other names 1
NPPES NPI Registry- LABORATORIO CLINICO CAMASEYES INC.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2012.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338768000000",
"number": "1508884545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2704 RIO HONDO",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-997-5229",
"fax_number": "787-997-5229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 459 K.M. 3.9",
"address_2": "CAMASEYES",
"city": "AGUADILLA",
"state": "PR",
"postal_code": "00603",
"telephone_number": "787-997-5229",
"fax_number": "787-997-5229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEX MUNIZ ALFONSO",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2012-06-04",
"status": "A",
"authorized_official_last_name": "MUNIZ",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-997-5229",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.T."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "1036",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "0031253",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LABORATORIO CLINICO CAMASEYES INC.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Aguadilla, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.