Ismael Perez PTR

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

728 Issued in PR

Legal business name

ISMAEL PEREZ PTR

Doing business as

Laboratorio San Sebastian

Practice address

424 Ave Emerito Estrada Ste 1
San Sebastian, PR 00685-3113

Phone

(787) 896-3161

Fax

(787) 896-3161

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Maritza Andujar-Rios

Title

Owner

Phone

(787) 896-3161

Specialties & licenses 1

Addresses

Other names 1

• LABORATORIO SAN SEBASTIAN Doing business as

Locations

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1558329615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 AVE EMERITO ESTRADA STE 1",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006853113",
            "telephone_number": "787-896-3161",
            "fax_number": "787-896-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 AVE EMERITO ESTRADA STE 1",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006853113",
            "telephone_number": "787-896-3161",
            "fax_number": "787-896-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISMAEL PEREZ PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "ANDUJAR-RIOS",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-896-3161",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO SAN SEBASTIAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Innova Medical Clinic
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• Joannie Irizarry Cortes, O.D.
• Christine Marie Irizarry
• Migdalia Irizarry
• Jose A. Iturregui, DDS MS
• Jeannette Serrano Torres
• Yeisabeth Marie Jimenez Almeyda
• Angelymar Jimenez Cardona
• Carmen Jimenez Jimenez, PHARMACY TECHNICIAN

• Clinical Medical Laboratory in San Sebastian, PR
• Providers in San Sebastian, 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 Mar 9, 2015; 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.