NPIMap

Organization Active NPI

Pathology Lab Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Mayaguez, PR
National Provider Identifier
1720511595
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
6222 Issued in PR
Legal business name
PATHOLOGY LAB INC
Practice address
55 Calle Dr Basora N
Suite 206
Mayaguez, PR 00680-4810
Phone
(787) 834-8202
Fax
(787) 751-8286
NPI assigned
Apr 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Dr. Oscar Trujillo, M.D.NPI 1396830691
Title
Presidente
Phone
(787) 834-8202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X 6222 PR Primary

Addresses

Primary practice location

55 Calle Dr Basora N
Suite 206
Mayaguez, PR 00680-4810

Mailing address

PO Box 194800
San Juan, PR 00919-4800
Phone (787) 751-8286

Other identifiers 1

IdentifierTypeStateIssuer
40D0723878OtherPRCLIA

National Provider Directory

National Provider Directory

Locations

55 Calle Dr Basora N
Ste 206
Mayaguez, PR 00680
Phone (787) 751-8286

Practitioners & affiliated clinicians

Practitioners 2

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": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1720511595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194800",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009194800",
            "telephone_number": "787-751-8286",
            "fax_number": "787-751-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE DR BASORA N",
            "address_2": "SUITE 206",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804810",
            "telephone_number": "787-834-8202",
            "fax_number": "787-751-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-834-8202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "6222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "40D0723878",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.