Active NPI
Carmen L Villabol, MT
- Medical Technologist
- Cabo Rojo, PR
National Provider Identifier
1841263753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- 789
- Practice address
- Calle Carbonell #61
Cabo Rojo, PR 00623 - Phone
- (787) 255-2400
- Fax
- (787) 255-2400
- NPI assigned
- Feb 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 789 | PR | Primary |
Addresses
Primary practice location
Calle Carbonell #61
Cabo Rojo, PR 00623
Mailing address
PO Box 728
Cabo Rojo, PR 00623
Phone (787) 255-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 789 | PR | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laboratorio Clinico Bethania Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Cabo Rojo, PR
- NPI 1922378975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1841263753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 728",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "00623",
"telephone_number": "787-255-2400",
"fax_number": "787-255-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE CARBONELL #61",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "00623",
"telephone_number": "787-255-2400",
"fax_number": "787-255-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLABOL",
"first_name": "CARMEN",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "PR",
"license": "789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cabo Rojo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.