Faustino F Degro

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

450 Issued in PR

Legal business name

FAUSTINO F DEGRO

Doing business as

Degmar Clinical Lab

Practice address

8104 Calle Concordia
Suite #1
Ponce, PR 00717-1541

Phone

(787) 844-6410

Fax

(787) 840-6168

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lourdes Martinez, MT

Title

Laboratory Director

Phone

(787) 844-6410

Specialties & licenses 1

Addresses

Other names 1

• DEGMAR CLINICAL LAB Doing business as

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1699855643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 331651",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007331651",
            "telephone_number": "787-844-6410",
            "fax_number": "787-840-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8104 CALLE CONCORDIA",
            "address_2": "SUITE #1",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171541",
            "telephone_number": "787-844-6410",
            "fax_number": "787-840-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAUSTINO F DEGRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "787-844-6410",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEGMAR CLINICAL LAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farmacia San Jose Los Caobos LLC (Farmacia San Jose)
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• Farmacia Seccion Prevencion Ets (Vih Sida)
• Farmacia Velez
• Farmacia Wil-Sons
• Serena Imaan Fazal
• Carmen Haydee Febles
• Arivette Febus Lebron, OTA
• Melby Febus, DDS
• Gabriela M Feliciano Diaz

• Clinical Medical Laboratory in Ponce, PR
• Providers in Ponce, 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 Aug 25, 2008; 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.