Laboratorio Vascular Clinico Ponce Inc

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

LABORATORIO VASCULAR CLINICO PONCE INC

Practice address

2213 Ponce by Pass
Hospital Damas Primer Piso
Ponce, PR 00717-1318

Phone

(787) 840-0670

Fax

(787) 841-6442

NPI assigned

Jan 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William Bracer, MDNPI 1649276569

Title

Medical Director

Phone

(787) 840-0670

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Bracer, M.D.

  • Surgery Physician
  • Ponce, PR
  • NPI 1649276569
  Medicare reassignment Care Compare group NPD Authorized official
• Luis J Torruella, MD, FACS

  • Vascular Surgery Physician
  • Ponce, PR
  • NPI 1205899853
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1598735565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7123",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327123",
            "telephone_number": "787-840-0670",
            "fax_number": "787-841-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 PONCE BY PASS",
            "address_2": "HOSPITAL DAMAS PRIMER PISO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171318",
            "telephone_number": "787-840-0670",
            "fax_number": "787-841-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO VASCULAR CLINICO PONCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "BRACER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-840-0670",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Sandon Inc
• Laboratorio Clinico Santa Maria
• Laboratorio Clinico Serhant
• Laboratorio Concordia Lugaro
• Laboratorio la Providencia de Ponce
• Laboratorios Ramirez Inc
• Joaquin A Laboy Torres, MD
• Frange Chantal Laboy Velazquez
• Edith Laboy, RPH
• Luis Doel Laboy

• Diagnostic Ultrasound Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Diagnostic Ultrasound Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.