Organization Active NPI

Test Care Diagnostics, Inc.

  • Health Service Clinic/Center
  • San Juan, PR
National Provider Identifier
1649349663
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
TEST CARE DIAGNOSTICS, INC.
Practice address
Ave. San Patricio, #777 Urb. Las Lomas
San Juan, PR 00921
Phone
(787) 792-1398
Fax
(787) 792-1398
NPI assigned
Nov 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Guillermo Octavio Cruz
Title
President
Phone
(787) 792-1398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

Ave. San Patricio, #777 Urb. Las Lomas
San Juan, PR 00921

Mailing address

PMB 254, #90, Ave Rio Hondo
Bayanon, PR 00961-3105
Phone (787) 792-1398

Other identifiers 3

IdentifierTypeStateIssuer
3549OtherPRAMERICAN HEALTH MEDICARE
9210185OtherPRHUMANA
992124OtherPRMMM

National Provider Directory

National Provider Directory

Locations

1558 Ave Americo Miranda
San Juan, PR 00921
Phone (787) 793-1210

777 Ave San Patricio
San Juan, PR 00921
Phone (787) 792-1398

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649349663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 254, #90, AVE RIO HONDO",
            "city": "BAYANON",
            "state": "PR",
            "postal_code": "009613105",
            "telephone_number": "787-792-1398",
            "fax_number": "787-792-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. SAN PATRICIO, #777 URB. LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-792-1398",
            "fax_number": "787-792-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEST CARE DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "OCTAVIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-792-1398",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH MEDICARE",
            "identifier": "3549",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "9210185",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "992124",
            "state": "PR"
        }
    ],
    "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 22, 2020; 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.