Active NPI
Lillian V Mas Rivera, M.T.
- Clinical Medical Laboratory
- Carolina, PR
National Provider Identifier
1942461355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 699
- Practice address
- 237 Ave San Marcos
Ext,El Comandante
Carolina, PR 00982-3616 - Phone
- (787) 757-9588
- Fax
- (787) 757-9588
- NPI assigned
- Jun 18, 2008
- Last updated
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 699 | PR | Primary |
Addresses
Primary practice location
237 Ave San Marcos
Ext,El Comandante
Carolina, PR 00982-3616
Mailing address
675 Calle Princesa
Ext.El Comandante
Carolina, PR 00982-3664
Phone (787) 757-9588
Other names 1
- Laboratorio Extension El Comandante
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 699 | PR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lillian-V-Mas-Rivera | Clinical Medical Laboratory | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba lab-clinico-ext-el-comandante
- Clinical Medical Laboratory
- Carolina, PR
- NPI 1891839627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1942461355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 CALLE PRINCESA",
"address_2": "EXT.EL COMANDANTE",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009823664",
"telephone_number": "787-757-9588",
"fax_number": "787-757-9588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 AVE SAN MARCOS",
"address_2": "EXT,EL COMANDANTE",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009823616",
"telephone_number": "787-757-9588",
"fax_number": "787-757-9588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAS RIVERA",
"first_name": "LILLIAN",
"middle_name": "V",
"name_prefix": "Mrs.",
"credential": "M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LABORATORIO",
"last_name": "EL COMANDANTE",
"middle_name": "EXTENSION",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.