Organization Active NPI

Alex Muniz Alfonso

  • Clinical Medical Laboratory
  • Aguadilla, PR
National Provider Identifier
1508884545
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1036 Issued in PR
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.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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 (2 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1036 PR Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
0031253OtherPRPTAN

Other names 1

NPPES NPI Registry
  • LABORATORIO CLINICO CAMASEYES INC. Former legal business name

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.

Verify at the official NPI Registry.