Organization Active NPI

Alcides Oquendo Solis

Doing business as Laboratorio Central 2

  • Clinical Medical Laboratory
  • Humacao, PR
National Provider Identifier
1861827701
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
945 Issued in PR
Legal business name
ALCIDES OQUENDO SOLIS
Doing business as
Laboratorio Central 2
Practice address
350 Ave Font Martelo
Suite 2
Humacao, PR 00791-3266
Phone
(787) 612-0155
NPI assigned
Sep 11, 2013
Last updated
Sep 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Authorized official

Name
Alcides Oquendo Sr.
Title
Owner
Phone
(787) 612-0155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 945 PR Primary

Addresses

Primary practice location

350 Ave Font Martelo
Suite 2
Humacao, PR 00791-3266

Mailing address

350 Avenida Font Martelo
Suite 2
Humacao, PR 00791
UM
Phone (787) 612-0155

Other names 1

  • Laboratorio Central 2 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130722000259 PR Part B Supplier - Independent Clinical Laboratory 6406930353 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Humacao, PR

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
Alcides Oquendo Solis3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

350 Ave Font Martelo
Ste 2
Humacao, PR 00791
Phone (787) 612-0155

8151 Calle Concordia
Ste 2
Ponce, PR 00717
Phone (787) 840-0985

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1861827701",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "350 AVENIDA FONT MARTELO",
            "address_2": "SUITE 2",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-612-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 AVE FONT MARTELO",
            "address_2": "SUITE 2",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913266",
            "telephone_number": "787-612-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCIDES OQUENDO SOLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "OQUENDO",
        "authorized_official_first_name": "ALCIDES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-612-0155",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Central 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.