Organization Active NPI

NRMD Health Providers LLC

  • Clinical Medical Laboratory
  • San Juan, PR
National Provider Identifier
1639679012
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1370 Issued in PR
Legal business name
NRMD HEALTH PROVIDERS LLC
Practice address
1801 Ponce de Leon
Suite 101-C Santurce Medical Mall
San Juan, PR 00909
Phone
(787) 995-7098
Fax
(787) 995-7140
NPI assigned
Feb 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Mrs. Maria E Narvaez Rivera, MDNPI 1306907639
Title
Owner
Phone
(787) 638-8410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1370 PR Primary

Addresses

Primary practice location

1801 Ponce de Leon
Suite 101-C Santurce Medical Mall
San Juan, PR 00909

Mailing address

PO Box 19237
San Juan, PR 00910-1237
Phone (787) 995-7098

Other names 1

  • Santurce Medical Mall Clinical Lab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180711002656 PR Part B Supplier - Independent Clinical Laboratory 6800142423 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

1801 Ave Ponce de Leon
Ste 101C
San Juan, PR 00909
Phone (787) 995-7098

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1639679012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19237",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101237",
            "telephone_number": "787-995-7098",
            "fax_number": "787-995-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 PONCE DE LEON",
            "address_2": "SUITE 101-C SANTURCE MEDICAL MALL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-995-7098",
            "fax_number": "787-995-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NRMD HEALTH PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "NARVAEZ RIVERA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-638-8410",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santurce Medical Mall Clinical Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 1, 2018; 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.