Individual provider Active NPI

Iris M Colon Vargas, MT

  • Medical Technologist
  • San Juan, PR
National Provider Identifier
1639168420
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical TechnologistTaxonomy code 246QM0706X
License
651 Issued in PR
Practice address
75 Calle Krug
Laboratorio Torregrosa
San Juan, PR 00911-1619
Phone
(787) 728-5959
Fax
(787) 728-5959
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Technologist 246QM0706X 651 PR Primary

Addresses

Primary practice location

75 Calle Krug
Laboratorio Torregrosa
San Juan, PR 00911-1619

Mailing address

75 Calle Krug
Laboratorio Torregrosa
San Juan, PR 00911-1619
Phone (787) 728-5959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1639168420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CALLE KRUG",
            "address_2": "LABORATORIO TORREGROSA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111619",
            "telephone_number": "787-728-5959",
            "fax_number": "787-728-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CALLE KRUG",
            "address_2": "LABORATORIO TORREGROSA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111619",
            "telephone_number": "787-728-5959",
            "fax_number": "787-728-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON VARGAS",
        "first_name": "IRIS",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "PR",
            "license": "651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.