Organization Active NPI

Milagros Defillo Garcia Estate

  • Clinical Medical Laboratory
  • Guayanilla, PR
National Provider Identifier
1528316593
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
217 Issued in PR
Legal business name
MILAGROS DEFILLO GARCIA ESTATE
Practice address
147 Calle Luis Munoz Rivera
Guayanilla, PR 00656-1814
Phone
(787) 835-2705
Fax
(787) 835-2705
NPI assigned
Aug 24, 2012
Last updated
Aug 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Authorized official

Name
Mrs. Gretchen M Franceschini
Title
Owner
Phone
(787) 835-2705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 217 PR Primary

Addresses

Primary practice location

147 Calle Luis Munoz Rivera
Guayanilla, PR 00656-1814

Mailing address

PO Box 560362
Guayanilla, PR 00656-0362
Phone (787) 835-2705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130926000376 PR Part B Supplier - Independent Clinical Laboratory 2264676501 Practice locations: Guayanilla, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1345766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345766400000",
    "number": "1528316593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560362",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006560362",
            "telephone_number": "787-835-2705",
            "fax_number": "787-835-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 CALLE LUIS MUNOZ RIVERA",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006561814",
            "telephone_number": "787-835-2705",
            "fax_number": "787-835-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAGROS DEFILLO GARCIA ESTATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-24",
        "last_updated": "2012-08-24",
        "status": "A",
        "authorized_official_last_name": "FRANCESCHINI",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-835-2705",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayanilla, PR

Sources for this page

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