Ivelisse Diaz Garcia Dba Laboratorio Diaz Garcia

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

820 Issued in PR

Legal business name

IVELISSE DIAZ GARCIA DBA LABORATORIO DIAZ GARCIA

Practice address

50 Calle Juan Colon Padilla
Arecibo, PR 00612-4461

Phone

(787) 880-4734

Fax

(787) 650-8866

NPI assigned

Jul 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Ivelisse Diaz Garcia

Title

Medical Technologist

Phone

(787) 880-4734

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rafael Toledo, M.D.

  • General Practice Physician
  • Arecibo, PR
  • NPI 1659330983
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1699789966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140519",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140519",
            "telephone_number": "787-880-4734",
            "fax_number": "787-650-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CALLE JUAN COLON PADILLA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124461",
            "telephone_number": "787-880-4734",
            "fax_number": "787-650-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVELISSE DIAZ GARCIA DBA LABORATORIO DIAZ GARCIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "DIAZ GARCIA",
        "authorized_official_first_name": "IVELISSE",
        "authorized_official_title_or_position": "MEDICAL TECHNOLOGIST",
        "authorized_official_telephone_number": "787-880-4734",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaritza Enid Irizarry, MASTER
• Islote Drug Inc.
• Islote Medical Solutions Corporation
• Islote Medical Solutions Corporation
• Islotes Ambulance Inc
• J a T Medical Service PSC
• Jagoo Inc
• Rita James-Bernat, MA
• Jarock a Gonzalez Inc
• JC Med Laboratory Services, Inc.

• Clinical Medical Laboratory in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.