Organization Active NPI

Myriam Simons Mercado

Doing business as Laboratorio Clinico Naguabo

  • Clinical Medical Laboratory
  • Naguabo, PR
National Provider Identifier
1790801934
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
224 Issued in PR
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.