Laboratorio Clinico Soram, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

271 Issued in PR

Legal business name

LABORATORIO CLINICO SORAM, INC.

Practice address

Mario Braschi 1
Coamo, PR 00769-1866

Phone

(787) 825-1184

Fax

(787) 825-1184

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ramon A Solivan Miranda, M.D.NPI 1124005632

Title

President

Phone

(787) 825-1184

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ramon A Solivan Miranda, MD

  • General Practice Physician
  • Coamo, PR
  • NPI 1124005632
  NPD (past) Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1821170952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE MARIO BRASCHI 1",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007691866",
            "telephone_number": "787-825-1184",
            "fax_number": "787-825-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MARIO BRASCHI 1",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007691866",
            "telephone_number": "787-825-1184",
            "fax_number": "787-825-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO SORAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "SOLIVAN MIRANDA",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-825-1184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Instituto Cardiovascular de Coamo, CSP
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• Liliana Keitt-Blanks
• Laboratorio Clinico Coamo Inc
• Laboratorio Clinico Irizarry Guasch Inc
• Laboratorio Clinico Yanluis
• Jose Jesus Larrauri del Valle Jr., MD
• Jose Jesus Larrauri Renta, M.D.
• Lmo Perioimplants LLC
• Gloria Lopez

• Clinical Medical Laboratory in Coamo, PR
• Providers in Coamo, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.