Maribel Diaz Ruiz Laboratory Services Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1085 Issued in PR

Legal business name

MARIBEL DIAZ RUIZ LABORATORY SERVICES INC.

Doing business as

Laboratorio Universal

Practice address

513 Ave Hostos
Baldrich
San Juan, PR 00918-3235

Phone

(787) 758-3220

Fax

(787) 758-3203

NPI assigned

Feb 7, 2007

Last updated

Sep 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Maribel Diaz, M.T.

Title

President Ceo

Phone

(787) 758-3220

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Laboratorio Universal Doing business as

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1871633164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190849",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009190849",
            "telephone_number": "787-758-3220",
            "fax_number": "787-758-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 AVE HOSTOS",
            "address_2": "BALDRICH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183235",
            "telephone_number": "787-758-3220",
            "fax_number": "787-758-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIBEL DIAZ RUIZ LABORATORY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "787-758-3220",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC",
            "identifier": "P981",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC",
            "identifier": "0020284",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CRUZ AZUL DE PR",
            "identifier": "100660",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS, TRIPLE S",
            "identifier": "31454",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Universal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria E Ballester Arocho (Maria E Ballester Centro Terapia)
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• Mariana Silva
• Mariana Silva Garcia MD
• Kirsy Mariano
• Maribel Vega Rios (Farmacia University Gardens)
• Jose E Marin Lopez, MD
• Carla Sofia Marin Marquez
• Brenda Iris Marin Rodriguez, PHD
• Maria De Lourdes Marin Soto, MD

• Clinical Medical Laboratory in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.