Enilda Velazquez, PB MT, MLS (ASCP)

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

St 8860 Plaza Matienzo
Bo Cuevas
Trujillo Alto, PR 00976

Phone

(787) 233-1313

NPI assigned

Feb 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Laboratorio Clinico Ebenezer LLC

  • Clinical Medical Laboratory
  • Trujillo Alto, PR
  • NPI 1972063618
  NPD Authorized official

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1730646142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2C25 AVE C",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009877481",
            "telephone_number": "787-220-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST 8860 PLAZA MATIENZO",
            "address_2": "BO CUEVAS",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-233-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "ENILDA",
        "credential": "PB MT, MLS (ASCP)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255788386",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen A Vazquez Ortiz, MD
• Heriberto Vazquez Sanchez, O.D.
• Annabelle Vazquez, RPH
• Vanessa Vega Hernandez, M.D.
• Mariel Vega, M.S. S.L.P.
• Moises E Velazquez
• Diara M. Velez, M.A.
• Edna L Velez
• Leyla Vera Mercado, PHARMD
• Karina Vidal-Luquis

• Clinical Medical Laboratory in Trujillo Alto, PR
• Providers in Trujillo Alto, 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 22, 2019; 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.