Organization Active NPI

Nancy E. Garcia Vazquez

Doing business as Laboratorio Clinico Abba

  • Clinical Medical Laboratory
  • Mayaguez, PR
National Provider Identifier
1538171772
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1041 Issued in PR
Legal business name
NANCY E. GARCIA VAZQUEZ
Doing business as
Laboratorio Clinico Abba
Practice address
Carr 106 KM 5.6 Bo Quemado Mayaguez
Mayaguez, PR 00680
Phone
(787) 805-4858
Fax
(787) 805-4858
NPI assigned
Aug 13, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Nancy E Garcia, MT
Title
Medical Technologist Owner
Phone
(787) 805-4858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1041 PR Primary

Addresses

Primary practice location

Carr 106 KM 5.6 Bo Quemado Mayaguez
Mayaguez, PR 00680

Mailing address

San Gerardo #57
Urb Villa Sol
Mayaguez, PR 00680
Phone (787) 805-4858

Other names 1

  • Laboratorio Clinico Abba Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040831000095 PR Part B Supplier - Independent Clinical Laboratory 7012982374 Practice locations: Mayaquez, 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": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1538171772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAN GERARDO #57",
            "address_2": "URB VILLA SOL",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-805-4858",
            "fax_number": "787-805-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 106 KM 5.6 BO QUEMADO MAYAGUEZ",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-805-4858",
            "fax_number": "787-805-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY E. GARCIA VAZQUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL TECHNOLOGIST   OWNER",
        "authorized_official_telephone_number": "787-805-4858",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Abba",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 23, 2008; 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.