Active NPI
Nilda Ana Garland, BS MT (ASCP)
- Clinical Medical Laboratory
- Coamo, PR
National Provider Identifier
1790725109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 946
- Practice address
- Carr 14 KM 26.9
Bo. Los Llanos
Coamo, PR 00769 - Phone
- (787) 825-0616
- Fax
- (787) 825-0616
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | 2354 | PR | |
| Clinical Medical Laboratory | 291U00000X | 946 | PR | Primary |
Addresses
Primary practice location
Carr 14 KM 26.9
Bo. Los Llanos
Coamo, PR 00769
Mailing address
P.O. Box 500
Coamo, PR 00769
Phone (787) 825-0616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080408000102 | PR | Part B Supplier - Independent Clinical Laboratory | 2365529997 | Practice locations: Coamo, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science, Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2354 | PR | MD | Pediatrics Physician |
| 946 | PR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1790725109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 500",
"city": "COAMO",
"state": "PR",
"postal_code": "00769",
"telephone_number": "787-825-0616",
"fax_number": "787-825-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 14 KM 26.9",
"address_2": "BO. LOS LLANOS",
"city": "COAMO",
"state": "PR",
"postal_code": "00769",
"telephone_number": "787-825-0616",
"fax_number": "787-825-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARLAND",
"first_name": "NILDA",
"middle_name": "ANA",
"name_prefix": "Mrs.",
"credential": "BS MT (ASCP)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "PR",
"license": "2354",
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coamo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.