Active NPI
Jerusha Arboleda, MT (ASCP)
- Clinical Medical Laboratory
- Guaynabo, PR
National Provider Identifier
1962643577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 447
- Practice address
- C-2 Alejandrino - Clementina
Guaynabo, PR 00969-4704 - Phone
- (787) 503-1304
- Fax
- (787) 200-0391
- NPI assigned
- Mar 11, 2009
- 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 | 447 | PR | Primary |
Addresses
Primary practice location
C-2 Alejandrino - Clementina
Guaynabo, PR 00969-4704
Mailing address
C-2 Alejandrino - Clementina
Guaynabo, PR 00969-4704
Phone (787) 503-1304
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3-0127 | Other | SSS | |
| 660-125278 | Other | MCS |
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 |
|---|---|---|---|
| 447 | PR | MD | Clinical Medical Laboratory |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1962643577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C-2 ALEJANDRINO - CLEMENTINA",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009694704",
"telephone_number": "787-503-1304",
"fax_number": "787-200-0391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "C-2 ALEJANDRINO - CLEMENTINA",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009694704",
"telephone_number": "787-503-1304",
"fax_number": "787-200-0391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARBOLEDA",
"first_name": "JERUSHA",
"name_prefix": "Miss",
"credential": "MT (ASCP)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-11",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "447",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "3-0127",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCS",
"identifier": "660-125278",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.