NPIMap

Organization Active NPI

DV Lab Group Inc

  • Clinical Medical Laboratory
  • Arecibo, PR
National Provider Identifier
1932264504
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1112 Issued in PR
Legal business name
DV LAB GROUP INC
Practice address
Carr 635 KM 1 Bo Dominguito
Arecibo, PR 00612
Phone
(787) 879-0749
Fax
(787) 816-4307
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Authorized official

Name
Mr. Cesar Del Valle, M.A.
Title
President
Phone
(787) 879-0750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1112 PR Primary

Addresses

Primary practice location

Carr 635 KM 1 Bo Dominguito
Arecibo, PR 00612

Mailing address

PO Box 142292
Arecibo, PR 00614-2292
Phone (787) 879-0749

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070410000349 PR Part B Supplier - Independent Clinical Laboratory 3375648991 Practice locations: Arecibo, PR

National Provider Directory

National Provider Directory
Tax ID family
DV Lab Group Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1932264504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142292",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006142292",
            "telephone_number": "787-879-0749",
            "fax_number": "787-816-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 635 KM 1 BO DOMINGUITO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-879-0749",
            "fax_number": "787-816-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DV LAB GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "DEL VALLE",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-879-0750",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.