Dento-Lab, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DENTO-LAB, INC

Practice address

Carr #2, RM 174, Suite 101
San German Medical Plaza
San German, PR 00683-9339

Phone

(787) 892-8585

Fax

(787) 892-8585

NPI assigned

Mar 8, 2006

Last updated

Dec 23, 2014By 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

Fredickson M. Vargas, MDNPI 1649248758

Title

President-Dento-Lab, Inc

Phone

(787) 892-8585

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Las Lomas Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

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.

• Fredickson Manuel Vargas, MD

  • Internal Medicine Physician
  • San German, PR
  • NPI 1649248758
  NPD (past) Authorized official

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1902874712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 03 BOX 25708",
            "address_2": "SAN GERMAN MEDICAL PLAZA",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839339",
            "telephone_number": "787-892-8585",
            "fax_number": "787-892-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2, RM 174, SUITE 101",
            "address_2": "SAN GERMAN MEDICAL PLAZA",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839339",
            "telephone_number": "787-892-8585",
            "fax_number": "787-892-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTO-LAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "FREDICKSON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT-DENTO-LAB, INC",
        "authorized_official_telephone_number": "787-892-8585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Las Lomas",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paola Andrea De Jesus
• Ramon De Jesus, M.D.
• De la Mano Nursing Home
• Stephanie Marie De la Matta, OD
• Alanna Michelle De la Torre
• Dento-Medics, CSP
• Dento-Ped, CSP
• Dermatologics LLC (Dermatologics: Medical and Cosmetic Dermatology)
• Wigmar Diaz Ramos, PH D
• Yaileen M Diaz Torres, SLP

• Clinical Medical Laboratory in San German, PR
• Providers in San German, 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 Dec 23, 2014; 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.