Organization Active NPI

Western Pathology and Citology Lab

  • Clinical Medical Laboratory
  • Mayaguez, PR
National Provider Identifier
1851464044
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
250B Issued in PR
Legal business name
WESTERN PATHOLOGY AND CITOLOGY LAB
Practice address
Calle Peral #14 Esquina de Diego
Edificio la Palma 1G
Mayaguez, PR 00680
Phone
(787) 832-6900
Fax
(787) 832-6902
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Miguel Angel Rivera Bonilla
Title
Pathologist Director of Laboratory
Phone
(787) 832-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 250B PR Primary

Addresses

Primary practice location

Calle Peral #14 Esquina de Diego
Edificio la Palma 1G
Mayaguez, PR 00680

Mailing address

Urb Vista Verde
59 Zafiro
Mayaguez, PR 00682-2516
Phone (787) 832-6900

National Provider Directory

National Provider Directory

Locations

14 Calle Peral N
Ste 1G
Mayaguez, PR 00680
Phone (787) 832-6900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851464044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VISTA VERDE",
            "address_2": "59 ZAFIRO",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006822516",
            "telephone_number": "787-832-6900",
            "fax_number": "787-832-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PERAL #14 ESQUINA DE DIEGO",
            "address_2": "EDIFICIO LA PALMA 1G",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-832-6900",
            "fax_number": "787-832-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PATHOLOGY AND CITOLOGY LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA BONILLA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "PATHOLOGIST DIRECTOR OF LABORATORY",
        "authorized_official_telephone_number": "787-832-6900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "250B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.