NPIMap

Organization Active NPI

Puerto Rico Pathology Associates P

  • Anatomic Pathology & Clinical Pathology Physician
  • San Juan, PR
National Provider Identifier
1740246545
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
7716 Issued in PR
Legal business name
PUERTO RICO PATHOLOGY ASSOCIATES P
Practice address
198 Calle Trinidad Ste 102
San Juan, PR 00917-2900
Phone
(787) 726-5486
Fax
(787) 268-4417
NPI assigned
Apr 21, 2006
Last updated
Jan 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Dr. Elba Torres-Matundan, MDNPI 1629261110
Title
President
Phone
(787) 718-5115

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 7716 PR Primary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X NU
Clinical Medical Laboratory 291U00000X NU

Addresses

Primary practice location

198 Calle Trinidad Ste 102
San Juan, PR 00917-2900

Mailing address

198 Calle Trinidad Ste 102
San Juan, PR 00917-2900
Phone (787) 726-5486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060523000117 PR Part B Supplier - Clinic/Group Practice 4385655760 Receives reassigned benefits from 16 practitioners
Practice locations: San Juan, PR
O20120618000519 PR Part B Supplier - Independent Clinical Laboratory 4385655760 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

198 Calle Trinidad
Ste 102
San Juan, PR 00917

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1740246545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 CALLE TRINIDAD STE 102",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009172900",
            "telephone_number": "787-726-5486",
            "fax_number": "787-268-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 CALLE TRINIDAD STE 102",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009172900",
            "telephone_number": "787-726-5486",
            "fax_number": "787-268-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO PATHOLOGY ASSOCIATES P",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "TORRES-MATUNDAN",
        "authorized_official_first_name": "ELBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-718-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "7716",
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.

Verify at the official NPI Registry.