Integrated Pathology PSC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1291 Issued in PR

Legal business name

INTEGRATED PATHOLOGY PSC

Practice address

220 Plaza Western Auto Ste 101
PMB 395
Trujillo Alto, PR 00976-3607

Phone

(787) 305-5200

Fax

(787) 761-4526

NPI assigned

Jul 26, 2013

Last updated

Aug 22, 2013By 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

Dr. Victor Carlo Vargas, M.D.

Title

President

Phone

(787) 412-4477

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 3

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.

• Victor P Carlo, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Hato Rey, PR
  • NPI 1982762563
  Medicare reassignment NPD
• Yanira L Pagan, M.D.

  • Pediatric Endocrinology Physician
  • San Juan, PR
  • NPI 1003940149
  NPD
• Lurmag Y Orta Gonzalez, MD

  • Anatomic Pathology Physician
  • Trujillo Alto, PR
  • NPI 1508014622
  NPD (past)

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1770925109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PLAZA WESTERN AUTO STE 101",
            "address_2": "PMB 395",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763607",
            "telephone_number": "787-305-5200",
            "fax_number": "787-761-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PLAZA WESTERN AUTO STE 101",
            "address_2": "PMB 395",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763607",
            "telephone_number": "787-305-5200",
            "fax_number": "787-761-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PATHOLOGY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-26",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLO VARGAS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-412-4477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 22, 2013; 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.