Active NPI
Jaime Tavarez Perez
- Clinical Medical Laboratory
- Isabela, PR
National Provider Identifier
1962448274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 630
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.