Organization Active NPI

Oscar Trujillo

  • Anatomic Pathology & Clinical Pathology Physician
  • Mayaguez, PR
National Provider Identifier
1740380112
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
719B Issued in PR
Legal business name
OSCAR TRUJILLO
Doing business as
PATHOLOGY LAB
Practice address
55 Dr Basora Street Suite 206
Mayaguez, PR 00680
Phone
(787) 834-8202
Fax
(787) 831-5255
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Miss Oscar Trujillo, M.D.
Title
Director
Phone
(787) 834-8202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X 719B PR Primary

Addresses

Primary practice location

55 Dr Basora Street Suite 206
Mayaguez, PR 00680

Mailing address

P O Box 1146
Mayaguez, PR 00681
Phone (787) 834-8202

Other identifiers 1

IdentifierTypeStateIssuer
40D0723878OtherPRCLIA

Other names 1

  • PATHOLOGY LAB Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1740380112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1146",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00681",
            "telephone_number": "787-834-8202",
            "fax_number": "787-831-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 DR BASORA STREET SUITE 206",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-8202",
            "fax_number": "787-831-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR TRUJILLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-834-8202",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "719B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "40D0723878",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATHOLOGY LAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 17, 2013; 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.