Marvi San Rodriguez Zayas, MT

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

542 Issued in PR

Practice address

5 Calle Figueras
Laboratorio Clinico Jayuya
Jayuya, PR 00664-1628

Phone

(787) 828-6025

Fax

(787) 828-2951

NPI assigned

May 13, 2008

Last updated

May 13, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Laboratorio Clinico Jayuya, Inc

  • Clinical Medical Laboratory
  • Jayuya, PR
  • NPI 1639173099
  NPD

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1548437221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "address_2": "LABORATORIO CLINICO JAYUYA",
            "city": "JAYUYA",
            "state": "PR",
            "postal_code": "006640549",
            "telephone_number": "787-828-6025",
            "fax_number": "787-828-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE FIGUERAS",
            "address_2": "LABORATORIO CLINICO JAYUYA",
            "city": "JAYUYA",
            "state": "PR",
            "postal_code": "006641628",
            "telephone_number": "787-828-6025",
            "fax_number": "787-828-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ ZAYAS",
        "first_name": "MARVI",
        "middle_name": "SAN",
        "name_prefix": "Mrs.",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "542",
            "primary": true
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "PR",
            "license": "1550",
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "PR",
            "license": "1550",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "38213",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicolle Michelle Rivera- Medina
• Luis A. Rivera-Roman, M.D.
• Bethsa I Rivera
• Frank Rivera, TEM
• Lizette Rivera
• Rocio Rodriguez Rodriguez, PHARMD
• Juan Manuel Roman-Vega, M.D.
• Benny J Roman, EMT
• Miguel Angel Rosado Torres
• Angelica Marie Rosado

• Clinical Medical Laboratory in Jayuya, PR
• Providers in Jayuya, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.