Active NPI
Clinica Yaguez Inc
Doing business as Laboratorio Pavia Health Clinic Guanica
- Clinical Medical Laboratory
- Guanica, PR
National Provider Identifier
1720546310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- CLINICA YAGUEZ INC
- Doing business as
- Laboratorio Pavia Health Clinic Guanica
- Practice address
- Carr 116 Ramal 1116 KM 27.7
Guanica, PR 00653 - Phone
- (787) 821-0402
- Fax
- (787) 805-2840
- NPI assigned
- Mar 4, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carlos I Huertas
- Title
- Finance Director
- Phone
- (787) 832-8444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
Carr 116 Ramal 1116 KM 27.7
Guanica, PR 00653
Mailing address
PO Box 698
Mayaguez, PR 00681-0698
Phone (787) 832-8444
Other names 1
- LABORATORIO PAVIA HEALTH CLINIC GUANICA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051007000046 | PR | Part B Supplier - Independent Clinical Laboratory | 9830175033 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mayaguez, PR |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Laboratorio Pavia Health Clinic Anasco
- Clinical Medical Laboratory
- Anasco, PR
- NPI 1326681065
O20051007000046
-
dba Laboratorio Clinico El Mani
- Clinical Medical Laboratory
- Mayaguez, PR
- NPI 1619428067
O20051007000046
-
dba Yaguez Community Clinic
- Clinical Medical Laboratory
- Mayaguez, PR
- NPI 1689851040
O20051007000046
-
dba Laboratorio Clinico Dr. Basora
- Clinical Medical Laboratory
- Mayaguez, PR
- NPI 1902366651
O20051007000046
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578009600000",
"number": "1720546310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 698",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006810698",
"telephone_number": "787-832-8444",
"fax_number": "787-805-2840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 116 RAMAL 1116 KM 27.7",
"city": "GUANICA",
"state": "PR",
"postal_code": "00653",
"telephone_number": "787-821-0402",
"fax_number": "787-805-2840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICA YAGUEZ INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-04",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A",
"authorized_official_last_name": "HUERTAS",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "787-832-8444",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LABORATORIO PAVIA HEALTH CLINIC GUANICA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Guanica, PR
- Centro de Consultoria Medica,CSP
- Centro de Diagnostico Y Tratamiento Guanica
- Cintron Ambulance Services LLC
- Waleska Cintron Rodriguez, M.D.
- Clinica Psicologica Las Mirlas LLC
- Clinica Yaguez Inc (Pavia Health Clinic Guanica)
- Clinica Yaguez, Inc (Centro Radiologico Pavia Health Clinic Guanica)
- Abdiel Josue Concepcion
- Doctor Xpress Corporation
- Dr Jorge Rivera Torres PSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.