Active NPI
Ramon Antonio Solivan Miranda
Doing business as Laboratorio Clinico Soram
- Clinical Medical Laboratory
- Coamo, PR
National Provider Identifier
1851375588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 271
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- General Practice Physician
- Coamo, PR
- NPI 1124005632
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.