Jaime Tavarez Sr., MT

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

690 Issued in PR

Practice address

58 Calle Daguey
Anasco, PR 00610-2603

Phone

(787) 826-3072

Fax

(787) 826-3072

NPI assigned

Jan 31, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Laboratorio Clinico Anasco Inc.

  • Clinical Medical Laboratory
  • Anasco, PR
  • NPI 1518328897
  NPD (past)

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1962680090",
    "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": "58 CALLE DAGUEY",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006102603",
            "telephone_number": "787-826-3072",
            "fax_number": "787-826-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAREZ",
        "first_name": "JAIME",
        "name_suffix": "Sr.",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-31",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Soto-Moreno, M.D.
• Speech R' US Corp.
• SSCF Inc.
• Cindy Suarez Rivera, DMD
• Super Farmacia Luvamar Inc
• Denitza Dariela Tejada
• Alberto Luis Torres Caban, MD
• Josefina Torres Ubarri, RPT
• Beatriz Torres, PHT
• Transporte Caleb Corp.

• Clinical Medical Laboratory in Anasco, PR
• Providers in Anasco, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.