Active NPI
Arecibo Pathology Services CSP
- Anatomic Pathology & Clinical Pathology Physician
- Aibonito, PR
National Provider Identifier
1831132844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- 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
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Katherine Davila, MD
- 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.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Ponce, PR
- NPI 1841496122
Anatomic Pathology & Clinical Pathology, PR
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070509000234 | PR | Part B Supplier - Clinic/Group Practice | 8921003062 |
Receives reassigned benefits from 2 practitioners Practice locations: Aibonito, PR |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
NPPES NPI RegistryPrimary 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2025.
{
"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.