Active NPI
Myriam Simons Mercado
Doing business as Laboratorio Clinico Naguabo
- Clinical Medical Laboratory
- Naguabo, PR
National Provider Identifier
1790801934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 224
- Legal business name
- MYRIAM SIMONS MERCADO
- Doing business as
- Laboratorio Clinico Naguabo
- Practice address
- 26 Calle Betances
Naguabo, PR 00718-2513 - Phone
- (787) 874-3999
- NPI assigned
- Mar 21, 2007
- Last updated
- Jun 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Myriam Simons, MEDICAL TECHNOLOGY
- Title
- Owner Director
- Phone
- (787) 642-6677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 224 | PR | Primary |
Addresses
Primary practice location
26 Calle Betances
Naguabo, PR 00718-2513
Mailing address
PO Box 602
Rio Blanco, PR 00744-0602
Phone (787) 874-3999
Other names 1
- Laboratorio Clinico Naguabo
National Provider Directory
National Provider DirectoryLocations
26 Calle Betances
Naguabo, PR 00718
Phone (787) 874-3999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1790801934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602",
"city": "RIO BLANCO",
"state": "PR",
"postal_code": "007440602",
"telephone_number": "787-874-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 CALLE BETANCES",
"city": "NAGUABO",
"state": "PR",
"postal_code": "007182513",
"telephone_number": "787-874-3999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYRIAM SIMONS MERCADO",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "SIMONS",
"authorized_official_first_name": "MYRIAM",
"authorized_official_title_or_position": "OWNER DIRECTOR",
"authorized_official_telephone_number": "787-642-6677",
"authorized_official_credential": "MEDICAL TECHNOLOGY"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laboratorio Clinico Naguabo",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Naguabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.