Organization Active NPI

Ramon Antonio Solivan Miranda

Doing business as Laboratorio Clinico Soram

  • Clinical Medical Laboratory
  • Coamo, PR
National Provider Identifier
1851375588
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
271 Issued in PR
Legal business name
RAMON ANTONIO SOLIVAN MIRANDA
Doing business as
Laboratorio Clinico Soram
Practice address
1 Calle Mario Braschi
Coamo, PR 00769-2501
Phone
(787) 825-1184
Fax
(787) 825-1184
NPI assigned
Dec 6, 2005
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. Ramon A Solivan
Title
Director
Phone
(787) 825-1184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 271 PR Primary

Addresses

Primary practice location

1 Calle Mario Braschi
Coamo, PR 00769-2501

Mailing address

PO Box 1866
1 Mario Braschi St
Coamo, PR 00769-1866
Phone (787) 825-1184

Other names 1

  • Laboratorio Clinico Soram Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1851375588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1866",
            "address_2": "1 MARIO BRASCHI ST",
            "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": "1 CALLE MARIO BRASCHI",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007692501",
            "telephone_number": "787-825-1184",
            "fax_number": "787-825-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMON ANTONIO SOLIVAN MIRANDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "SOLIVAN",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-825-1184",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Soram",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coamo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.