Active NPI
Western Pathology and Citology Lab
- Clinical Medical Laboratory
- Mayaguez, PR
National Provider Identifier
1851464044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 250B
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Anatomic Pathology Physician
- Mayaguez, PR
- NPI 1114160116
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.