Kimberly M Soto Mieles

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1366 Issued in PR

Legal business name

KIMBERLY M SOTO MIELES

Practice address

Carretera 111 KM 27.6 Barrio Juncal
San Sebastian, PR 00685-6911

Phone

(787) 669-5407

NPI assigned

Oct 23, 2017

Last updated

Dec 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly M Soto MielesNPI 1558887596

Title

Mt.

Phone

(787) 669-5407

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Juncal Other name

Practitioners 1

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.

• Kimberly M Soto Mieles

  • Clinical Medical Laboratory
  • San Sebastian, PR
  • NPI 1558887596
  NPD Authorized official

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513382400000",
    "number": "1750892295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2911",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006856911",
            "telephone_number": "787-669-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 111 KM 27.6 BARRIO JUNCAL",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006856911",
            "telephone_number": "787-669-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY M SOTO MIELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-12-16",
        "status": "A",
        "authorized_official_last_name": "SOTO MIELES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MT.",
        "authorized_official_telephone_number": "787-669-5407"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Juncal",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Laboratorio Clinico Juncal",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jose a Velez Mediavilla (Marielys Ambulance Services)
• Jose L Jimenez Acevedo (Pepino Ambulance Service)
• Juan M Llorens Fosse (Laboratorio Clinico Rios)
• Juan Molina Vargas (Molina Ambulance Service)
• Kalishadrel Ambulance Inc
• KMR Health
• Laboratorio Clinico Anexo Irizarry Guasch Inc
• Laboratorio Clinico El Cruce
• Laboratorio Clinico Hato Arriba
• Laboratorio Clinico Hoyamala

• Clinical Medical Laboratory in San Sebastian, PR
• Providers in San Sebastian, 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 Dec 16, 2017; 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.