Organization Active NPI

Arecibo Pathology Services CSP

  • Anatomic Pathology & Clinical Pathology Physician
  • Aibonito, PR
National Provider Identifier
1831132844
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
ARECIBO PATHOLOGY SERVICES CSP
Practice address
Calle Jose C. Vazquez Esquina Troyer
Bo Caonillas
Aibonito, PR 00705-9998
Phone
(787) 735-7004
Fax
(787) 735-7005
NPI assigned
Jun 14, 2006
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Katherine Davila, MDNPI 1407976038
Title
Presidente- Authorized Offcial
Phone
(787) 735-7004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

Calle Jose C. Vazquez Esquina Troyer
Bo Caonillas
Aibonito, PR 00705-9998

Mailing address

PO Box 2188
Coamo, PR 00769-4188
Phone (787) 735-7004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070509000234 PR Part B Supplier - Clinic/Group Practice 8921003062 Receives reassigned benefits from 2 practitioners
Practice locations: Aibonito, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1831132844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2188",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007694188",
            "telephone_number": "787-735-7004",
            "fax_number": "787-891-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE JOSE C. VAZQUEZ ESQUINA TROYER",
            "address_2": "BO CAONILLAS",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007059998",
            "telephone_number": "787-735-7004",
            "fax_number": "787-735-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARECIBO PATHOLOGY SERVICES CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PRESIDENTE- AUTHORIZED OFFCIAL",
        "authorized_official_telephone_number": "787-735-7004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aibonito, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.