Individual provider Active NPI

Lillian V Mas Rivera, M.T.

  • Clinical Medical Laboratory
  • Carolina, PR
National Provider Identifier
1942461355
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
699 Issued in PR
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
699PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.