Iluminada Pacheco Garcia

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

2829 Issued in PR

Legal business name

ILUMINADA PACHECO GARCIA

Practice address

9 Angel Gregorio Martinez
Sabana Grande, PR 00637

Phone

(787) 804-1844

Fax

(787) 804-1844

NPI assigned

Jan 23, 2008

Last updated

Mar 9, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

ILUMINADA PACHECO GARCIAAs reported in NPPES

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

Authorized official

Name

Mrs. Iluminada Pacheco, MT

Title

Owner

Phone

(787) 804-1844

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Pacheco Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Part of

Iluminada Pacheco Garcia

Locations

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1639356504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ANGEL GREGORIO MARTINEZ",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "787-804-1844",
            "fax_number": "787-804-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 ANGEL GREGORIO MARTINEZ",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "787-804-1844",
            "fax_number": "787-804-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILUMINADA PACHECO GARCIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ILUMINADA PACHECO GARCIA",
        "enumeration_date": "2008-01-23",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "ILUMINADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-804-1844",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "2829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Pacheco",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jose A Hernandez Jaquez, MD
• Miguel Angel Hernandez, PHARMD
• Home Health la Monserrate, Inc
• Hospicio la Monserrate
• Hospital de la Concepcion Inc
• Institucion Don German Caraballo Mojica, Inc
• Jorge L Irizarry-Hornedo, M.D.
• Iriain Irizarry
• Jesmer PSC
• JRSD Eye Care LLC

• Clinical Medical Laboratory in Sabana Grande, PR
• Providers in Sabana Grande, 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 Mar 9, 2012; 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.