Laboratorio Clinico Trixymar, Plaza del Mar
Organization Active NPI Clinical Medical Laboratory · Humacao, PR
NPI 1891229092 · NPPES record last updated Jun 14, 2021
Key facts
- NPI
- 1891229092
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 1283 (PR)
- Legal business name
- LABORATORIO CLINICO TRIXYMAR, PLAZA DEL MAR
- Practice address
- Carr PR3 KM 85.6 Bo Buena Vista
Edificio Plaz del Mar Local 12
Humacao, PR 00791 - Phone
- (787) 656-8673
- NPI assigned
- Apr 13, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- TRIXYMAR INC
Authorized official
- Name
- Mr. Luis Diaz-Vega
- Title
- Administrador
- Phone
- (787) 861-1111
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110210000194 | PR | Part B Supplier - Independent Clinical Laboratory | 8527248434 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Arroyo, PR; Humacao, PR; Maunabo, PR |
National Provider Directory
- Tax ID family
- Trixymar Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 1283 | PR | Yes |
Addresses
Primary practice location
Carr PR3 KM 85.6 Bo Buena Vista
Edificio Plaz del Mar Local 12
Humacao, PR 00791
Mailing address
PO Box 97
Maunabo, PR 00707-0097
Phone (787) 861-1111
Other providers in Humacao, PR
- Laboratorio Clinico Millennium CSP
- Laboratorio Clinico Moderno Inc.
- Laboratorio Clinico Profesional Melendez
- Laboratorio Clinico Quinones Inc
- Laboratorio Clinico Roxell Inc
- Laboratorio Clinico Y Bacteriologico Oriental
- Laboratorio Clinico Y Bacteriologico Oriental Inc
- Laboratorio Clinico Y Bacteriologico Oriental,Inc.
- Laboratorio Clinicon Colon #3
- Laboratorio Clnico Y Bacteriologico Rodriguez Inc
All providers in Humacao, PR · Clinical Medical Laboratory in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.