Organization Active NPI

Healthy Lab Group Medical

  • Oxygen Equipment & Supplies (DME)
  • Bayamon, PR
National Provider Identifier
1861812620
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
2200 Issued in PR
Legal business name
HEALTHY LAB GROUP MEDICAL
Practice address
Ac19 Calle 30
Bo. Hato Tejas Reparto Teresita
Bayamon, PR 00961-8344
Phone
(787) 972-7980
NPI assigned
Apr 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Authorized official

Name
Mr. Melvin Javier Santiago I, RTNPI 1033510748
Title
Owner/General Manager
Phone
(787) 972-7980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 2200 PR Primary

Addresses

Primary practice location

Ac19 Calle 30
Bo. Hato Tejas Reparto Teresita
Bayamon, PR 00961-8344

Mailing address

Ac19 Calle 30
Bo. Hato Tejas Reparto Teresita
Bayamon, PR 00961
Phone (787) 972-7980

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.

NPI Registry JSON

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1861812620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AC19 CALLE 30",
            "address_2": "BO. HATO TEJAS REPARTO TERESITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-972-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AC19 CALLE 30",
            "address_2": "BO. HATO TEJAS REPARTO TERESITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009618344",
            "telephone_number": "787-972-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LAB GROUP MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER/GENERAL MANAGER",
        "authorized_official_telephone_number": "787-972-7980",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PR",
            "license": "2200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.