Organization Active NPI

Centro de Patologia Avanzada de PR CSP

  • Clinical Pathology/Laboratory Medicine Physician
  • Bayamon, PR
National Provider Identifier
1659312825
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
1052 Issued in PR
Legal business name
CENTRO DE PATOLOGIA AVANZADA DE PR CSP
Practice address
I32 Calle 8
Ext Hermanas Davila
Bayamon, PR 00959-5066
Phone
(787) 995-1818
Fax
(787) 995-1800
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Sherley Ortiz Camacho
Title
Medical Biller
Phone
(787) 995-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0105X 1052 PR Primary

Addresses

Primary practice location

I32 Calle 8
Ext Hermanas Davila
Bayamon, PR 00959-5066

Mailing address

PO Box 363327
San Juan, PR 00936-3327
Phone (787) 995-1818

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1659312825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363327",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009363327",
            "telephone_number": "787-995-1818",
            "fax_number": "787-995-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "I32 CALLE 8",
            "address_2": "EXT HERMANAS DAVILA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595066",
            "telephone_number": "787-995-1818",
            "fax_number": "787-995-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE PATOLOGIA AVANZADA DE PR CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "ORTIZ CAMACHO",
        "authorized_official_first_name": "SHERLEY",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "787-995-1818"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "PR",
            "license": "1052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.