Organization Active NPI

Mirelys Nieves Delgado

  • Clinical Medical Laboratory
  • Arecibo, PR
National Provider Identifier
1689163594
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
826 Issued in PR
Legal business name
MIRELYS NIEVES DELGADO
Doing business as
Laboratorio Clinico Dominguito
Practice address
Carretera 635 KM 2.4
Bo. Dominguito
Arecibo, PR 00612
Phone
(787) 878-5324
Fax
(787) 878-5324
NPI assigned
May 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Authorized official

Name
Mr. David Cortes
Title
Accountant
Phone
(787) 878-5324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 826 PR Primary

Addresses

Primary practice location

Carretera 635 KM 2.4
Bo. Dominguito
Arecibo, PR 00612

Mailing address

PO Box 9211
Arecibo, PR 00613-9211
Phone (787) 878-5324

Other names 1

  • Laboratorio Clinico Dominguito Doing business as

National Provider Directory

National Provider Directory

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": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1689163594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9211",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006139211",
            "telephone_number": "787-878-5324",
            "fax_number": "787-878-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 635 KM 2.4",
            "address_2": "BO. DOMINGUITO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-878-5324",
            "fax_number": "787-878-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRELYS NIEVES DELGADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "787-878-5324",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Dominguito",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laboratorio Clinico Dominguito",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.