Organization Active NPI

Alba I. Rivera Torres

  • Clinical Medical Laboratory
  • Santa Isabel, PR
National Provider Identifier
1689726135
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1067 Issued in PR
Legal business name
ALBA I. RIVERA TORRES
Practice address
Carretera # 153 KM 6 HM 9
Santa Isabel, PR 00757
Phone
(787) 845-1508
Fax
(787) 848-1508
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Authorized official

Name
Mrs. Alba I Rivera
Title
Manager
Phone
(787) 845-1508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1067 PR Primary

Addresses

Primary practice location

Carretera # 153 KM 6 HM 9
Santa Isabel, PR 00757

Mailing address

PO Box 519
Santa Isabel, PR 00757-0519
Phone (787) 845-1508

Other names 1

  • LABORATORIO CLINICO PLAZA OASIS Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040811000403 PR Part B Supplier - Independent Clinical Laboratory 9830161736 Practice locations: Santa Isabel, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1689726135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007570519",
            "telephone_number": "787-845-1508",
            "fax_number": "787-845-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA # 153 KM 6 HM 9",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-845-1508",
            "fax_number": "787-848-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBA I. RIVERA TORRES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ALBA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-845-1508",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO PLAZA OASIS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Santa Isabel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.