NPIMap

Organization Active NPI

Morovis Community Health Center, Inc.

  • Clinical Medical Laboratory
  • Morovis, PR
National Provider Identifier
1851593701
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
721 Issued in PR
Legal business name
MOROVIS COMMUNITY HEALTH CENTER, INC.
Practice address
2 Calle Patron
Morovis, PR 00687-3021
Phone
(787) 862-3000
Fax
(787) 862-2731
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Authorized official

Name
Lirio Antonia Diaz
Title
Executive Assistant
Phone
(787) 862-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 721 PR Primary

Addresses

Primary practice location

2 Calle Patron
Morovis, PR 00687-3021

Mailing address

2 Calle Patron
Morovis, PR 00687-3021
Phone (787) 862-3000

Other identifiers 6

IdentifierTypeStateIssuer
31050OtherPRSSS CCC REFORMA
22223OtherPRPROSAM
40006OtherPRPMC PROVIDER #
6870002OtherPRHUMANA PROVIDER #
800107OtherPRMEDICARE Y MUCHO MAS
5679OtherPRAMERICAN HEALTH PROV #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050323000636 PR Part B Supplier - Independent Clinical Laboratory 0648224501 1 other NPI on this enrollment
Practice locations: Morovis, PR; Toa Baja, PR

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Morovis Community HLTH15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 2

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541980800000",
    "number": "1851593701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CALLE PATRON",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006873021",
            "telephone_number": "787-862-3000",
            "fax_number": "787-862-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE PATRON",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006873021",
            "telephone_number": "787-862-3000",
            "fax_number": "787-862-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOROVIS COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2018-11-12",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "LIRIO",
        "authorized_official_middle_name": "ANTONIA",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "787-862-3000"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS CCC REFORMA",
            "identifier": "31050",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSAM",
            "identifier": "22223",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC PROVIDER #",
            "identifier": "40006",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER #",
            "identifier": "6870002",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "800107",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH PROV #",
            "identifier": "5679",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morovis, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.