Active NPI
Demir Inc
- Clinical Medical Laboratory
- Ponce, PR
National Provider Identifier
1801922281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- DEMIR INC
- Practice address
- Carretera #123
#306
Ponce, PR 00728 - Phone
- (787) 842-4500
- Fax
- (787) 842-4500
- NPI assigned
- Feb 27, 2007
- 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
- Mirna Quetell
- Title
- Director
- Phone
- (787) 842-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
Carretera #123
#306
Ponce, PR 00728
Mailing address
PO Box 10540
Ponce, PR 00732
Phone (787) 842-4500
Other names 1
- Lab. Clinico D'Mars
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050224000528 | PR | Part B Supplier - Independent Clinical Laboratory | 0244283745 | Practice locations: Ponce, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239753600000",
"number": "1801922281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10540",
"city": "PONCE",
"state": "PR",
"postal_code": "00732",
"telephone_number": "787-842-4500",
"fax_number": "787-842-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA #123",
"address_2": "#306",
"city": "PONCE",
"state": "PR",
"postal_code": "00728",
"telephone_number": "787-842-4500",
"fax_number": "787-842-4500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEMIR INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2009-04-15",
"status": "A",
"authorized_official_last_name": "QUETELL",
"authorized_official_first_name": "MIRNA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "787-842-4500"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lab. Clinico D'Mars",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.