Luz I Tirado, MT

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

775 Issued in PR

Practice address

55 Calle Santiago N
Gurabo, PR 00778-2426

Phone

(787) 737-6042

Fax

(787) 712-0540

NPI assigned

Jul 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MB Clinical Laboratories East Corp.

  • Clinical Medical Laboratory
  • Gurabo, PR
  • NPI 1083757694
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669487153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1353",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007781353",
            "telephone_number": "787-737-6042",
            "fax_number": "787-712-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE SANTIAGO N",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007782426",
            "telephone_number": "787-737-6042",
            "fax_number": "787-712-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRADO",
        "first_name": "LUZ",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "PR",
            "license": "2304",
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "PR",
            "license": "775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Soto, PT437
• Yarelis Marie Suarez Manzano
• Rodolfo Antonio Tardy, M.D.
• Te Veo Optical LLC
• Tesla Radiology LLC
• Rafael Toro Velez, M.D.
• Tamara B Torres Marrero
• Ana Maria Torres Nunez, MS
• Suheil Marie Torres Pabon, DNP, MPH, NM, RN
• Nicole Marialis Torres Rosado, SLP

• All providers in Gurabo, PR
• Other Specialist/Technologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.