Organization Active NPI

Jaime Tavarez Perez

  • Clinical Medical Laboratory
  • Isabela, PR
National Provider Identifier
1962448274
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
630 Issued in PR
Legal business name
JAIME TAVAREZ PEREZ
Practice address
Num 7 Juan Hernandez
Isabela, PR 00662-0000
Phone
(787) 872-3480
Fax
(787) 872-3480
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Mr. Jaime Tavarez
Title
Dueno
Phone
(787) 872-3480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 630 PR Primary

Addresses

Primary practice location

Num 7 Juan Hernandez
Isabela, PR 00662-0000

Mailing address

PO Box 956
Isabela, PR 00662-0956
Phone (787) 872-3480

Other names 1

  • LABORATORIO CLINICO TAVAREZ Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1962448274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 956",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620956",
            "telephone_number": "787-872-3480",
            "fax_number": "787-872-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NUM 7 JUAN HERNANDEZ",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620000",
            "telephone_number": "787-872-3480",
            "fax_number": "787-872-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME TAVAREZ PEREZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "TAVAREZ",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "DUENO",
        "authorized_official_telephone_number": "787-872-3480",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO TAVAREZ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.