Organization Active NPI

Rodolfo Diaz Torres Sr

  • Clinical Medical Laboratory
  • Ponce, PR
National Provider Identifier
1730147745
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
290 Issued in PR
Legal business name
RODOLFO DIAZ TORRES SR
Practice address
8169 Calle Concordia Condominio San Vicente
Suite 3
Ponce, PR 00717
Phone
(787) 843-8967
Fax
(787) 651-7301
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Rodolfo Diaz Sr.
Title
Dueno
Phone
(787) 843-8967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 290 PR Primary

Addresses

Primary practice location

8169 Calle Concordia Condominio San Vicente
Suite 3
Ponce, PR 00717

Mailing address

PO Box 800544
Coto Laurel, PR 00780-0544
Phone (787) 843-8967

Other names 1

  • LABORATORIOS CLINICOS DEL SUR Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1730147745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800544",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800544",
            "telephone_number": "787-843-8967",
            "fax_number": "787-651-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA CONDOMINIO SAN VICENTE",
            "address_2": "SUITE 3",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-843-8967",
            "fax_number": "787-651-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODOLFO DIAZ TORRES SR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "DUENO",
        "authorized_official_telephone_number": "787-843-8967",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIOS CLINICOS DEL SUR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.