Active NPI
Sara Toro, LCDA
- Clinical Medical Laboratory
- Ponce, PR
National Provider Identifier
1629248265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 908
- Practice address
- 1255 Paseo Las Monjitas
Ste 119
Ponce, PR 00730-4221 - Phone
- (787) 840-9779
- Fax
- (787) 842-9162
- NPI assigned
- Mar 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 908 | PR | Primary |
Addresses
Primary practice location
1255 Paseo Las Monjitas
Ste 119
Ponce, PR 00730-4221
Mailing address
1255 Paseo Las Monjitas
Ste 119
Ponce, PR 00730-4221
Phone (787) 840-9779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050625000023 | PR | Part B Supplier - Independent Clinical Laboratory | 6204871643 | Practice locations: Ponce, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1629248265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 PASEO LAS MONJITAS",
"address_2": "STE 119",
"city": "PONCE",
"state": "PR",
"postal_code": "007304221",
"telephone_number": "787-840-9779",
"fax_number": "787-842-9162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 PASEO LAS MONJITAS",
"address_2": "STE 119",
"city": "PONCE",
"state": "PR",
"postal_code": "007304221",
"telephone_number": "787-840-9779",
"fax_number": "787-842-9162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORO",
"first_name": "SARA",
"name_prefix": "Mrs.",
"credential": "LCDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-11",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.