Myrna Santiago Camacho

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

659 Issued in PR

Legal business name

MYRNA SANTIAGO CAMACHO

Doing business as

Laboratorio Clinico Hermanas Davila

Practice address

121 Ave Betances
Bayamon, PR 00959-5227

Phone

(787) 780-8000

Fax

(787) 780-8000

NPI assigned

Sep 2, 2005

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Myrna Santiago Camacho, M.T. DIRECTOR

Title

Director

Phone

(787) 780-8000

Specialties & licenses 1

Addresses

Other names 1

• LABORATORIO CLINICO HERMANAS DAVILA Doing business as

Locations

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1578557773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51527",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009501527",
            "telephone_number": "787-780-8000",
            "fax_number": "787-795-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 AVE BETANCES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595227",
            "telephone_number": "787-780-8000",
            "fax_number": "787-780-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRNA SANTIAGO CAMACHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_middle_name": "SANTIAGO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-780-8000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.T. DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO HERMANAS DAVILA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Bayamon, PR
• Providers in Bayamon, 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 Jun 18, 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.