Coreplus Servicios Clinicos Y Patologicos LLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

COREPLUS SERVICIOS CLINICOS Y PATOLOGICOS LLC

Practice address

Avenida Sanchez Vilella Esq. PR-190
Suite 2-6
Carolina, PR 00983

Phone

(855) 711-2673

Fax

(855) 711-2673

NPI assigned

Aug 11, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Mariano De Socarraz

Title

President

Phone

(305) 992-4811

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Coreplus Servicios Clinicos Y Patologicos LLC

  • Clinical Medical Laboratory
  • Ponce, PR
  • NPI 1588653802

  O20110124001200

  Same enrollment

Tax ID family

Coreplus Servicios Clinicos2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coreplus Servicios Clinicos Y Patologicos LLC

  • Clinical Medical Laboratory
  • Ponce, PR
  • NPI 1588653802
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Coreplus Servicios Clinicos Y Patologicos LLC

  • Clinical Medical Laboratory
  • Ponce, PR
  • NPI 1588653802
  NPPES parent name

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1780830737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3376",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009843376",
            "telephone_number": "855-711-2673",
            "fax_number": "855-711-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA SANCHEZ VILELLA ESQ. PR-190",
            "address_2": "SUITE 2-6",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "855-711-2673",
            "fax_number": "855-711-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREPLUS SERVICIOS CLINICOS Y PATOLOGICOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "DE SOCARRAZ",
        "authorized_official_first_name": "MARIANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-992-4811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1049",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1049",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Del Carmen Cordero, RPH
• Marianis Cordero, PSY. D.
• Migdalia Cordero
• Core Care LLC
• Core Ortho Inc.
• Virgen M Coriano
• Jonathan Corporan
• Caroll Correa
• Tatiana Correa
• Walter Cortes Ortiz, MD

• Anatomic Pathology & Clinical Pathology Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Anatomic Pathology & Clinical Pathology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.