Active NPI
Laboratorio Feram Inc
- Clinical Medical Laboratory
- Aibonito, PR
National Provider Identifier
1619968559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORIO FERAM INC
- Practice address
- Calle Ramon Flores Num 65
Aibonito, PR 00705-1317 - Phone
- (787) 735-8686
- Fax
- (787) 735-3112
- NPI assigned
- Oct 31, 2005
- Last updated
- Feb 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sandra Ivette De Jesus
- Title
- Mt Ascp
- Phone
- (787) 735-8686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
Calle Ramon Flores Num 65
Aibonito, PR 00705-1317
Mailing address
Calle Ramon Flores Num 65
Aibonito, PR 00705-1317
Phone (787) 735-8686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060411000201 | PR | Part B Supplier - Independent Clinical Laboratory | 1850300401 | Practice locations: Aibonito, PR |
National Provider Directory
National Provider DirectoryLocations
65 Calle Ramon Flores
Aibonito, PR 00705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360022400000",
"number": "1619968559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE RAMON FLORES NUM 65",
"city": "AIBONITO",
"state": "PR",
"postal_code": "007051317",
"telephone_number": "787-735-8686",
"fax_number": "787-735-3112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE RAMON FLORES NUM 65",
"city": "AIBONITO",
"state": "PR",
"postal_code": "007051317",
"telephone_number": "787-735-8686",
"fax_number": "787-735-3112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO FERAM INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-31",
"last_updated": "2013-02-05",
"status": "A",
"authorized_official_last_name": "DE JESUS",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "IVETTE",
"authorized_official_title_or_position": "MT ASCP",
"authorized_official_telephone_number": "787-735-8686",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aibonito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.