NPIMap

Organization Active NPI

Plaza del Carmen Medical Services, Inc.

  • Clinical Medical Laboratory
  • Corozal, PR
National Provider Identifier
1558745885
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1330 Issued in PR
Legal business name
PLAZA DEL CARMEN MEDICAL SERVICES, INC.
Practice address
Carr 891 KM 13 Plaza del Carmen
Bo Pueblo
Corozal, PR 00783-0620
Phone
(787) 859-1901
Fax
(787) 802-1719
NPI assigned
Jul 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Dr. Miguel Angel Ortiz CalderoNPI 1376692483
Title
President
Phone
(787) 859-1901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1330 PR Primary

Addresses

Primary practice location

Carr 891 KM 13 Plaza del Carmen
Bo Pueblo
Corozal, PR 00783-0620

Mailing address

PO Box 620
Corozal, PR 00783-0620
Phone (787) 859-1901

National Provider Directory

National Provider Directory
Tax ID family
Plaza del Carmen Medical Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1558745885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 620",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007830620",
            "telephone_number": "787-859-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 891 KM 13 PLAZA DEL CARMEN",
            "address_2": "BO PUEBLO",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007830620",
            "telephone_number": "787-859-1901",
            "fax_number": "787-802-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA DEL CARMEN MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "ORTIZ CALDERO",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-859-1901",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corozal, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.