NPIMap

Organization Active NPI

University Pathologists, Inc.

  • Clinical Medical Laboratory
  • San Juan, PR
National Provider Identifier
1871580605
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
121 Issued in PR
Legal business name
UNIVERSITY PATHOLOGISTS, INC.
Practice address
Cond Madrid 1760 Loiza Street
Suite 204
San Juan, PR 00911-1801
Phone
(787) 726-5486
Fax
(787) 268-4417
NPI assigned
Oct 6, 2005
Last updated
Apr 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Manuel A Marcial, MDNPI 1871578864
Title
President
Phone
(787) 726-5484

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
Clinical Medical Laboratory 291U00000X 121 PR Primary

Addresses

Primary practice location

Cond Madrid 1760 Loiza Street
Suite 204
San Juan, PR 00911-1801

Mailing address

Cond Madrid 1760 Loiza Street
Suite #204
San Juan, PR 00911-1801
Phone (787) 726-5486

Other identifiers 4

IdentifierTypeStateIssuer
800078OtherPRMMM PROVIDER NUMBER
81063OtherPRTRIPLE-S, INC. PROVIDER #
9140009OtherPRHUMANA PROVIDER NUMBER
067852OtherPRCRUZ AZUL PROVIDER #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1871580605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND MADRID 1760 LOIZA STREET",
            "address_2": "SUITE #204",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111801",
            "telephone_number": "787-726-5486",
            "fax_number": "787-268-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND MADRID 1760 LOIZA STREET",
            "address_2": "SUITE 204",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111801",
            "telephone_number": "787-726-5486",
            "fax_number": "787-268-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PATHOLOGISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "MARCIAL",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-726-5484",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM PROVIDER NUMBER",
            "identifier": "800078",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S, INC. PROVIDER #",
            "identifier": "81063",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER NUMBER",
            "identifier": "9140009",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL PROVIDER #",
            "identifier": "067852",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.