Freddy Mas Vargas

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1191 Issued in PR

Legal business name

FREDDY MAS VARGAS

Practice address

Carr 348 KM 4 HM 8
Barrio Malezas
Mayaguez, PR 00680

Phone

(787) 832-8385

Fax

(787) 832-8385

NPI assigned

Nov 30, 2009

Organization subpart

No

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

Authorized official

Name

Freddy Mas Vargas, MTNPI 1346232410

Title

Ms Mt/General Supervisor

Phone

(787) 832-8385

Specialties & licenses 1

Addresses

Other names 1

• LABORATORIO CLINICO JERUSALEN Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Freddy Mas Vargas

  • Clinical Medical Laboratory
  • Aguada, PR
  • NPI 1992836068

  O20090911000526

  Same enrollment

Tax ID family

Freddy Mas Vargas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Freddy Mas Vargas

  • Clinical Medical Laboratory
  • Aguada, PR
  • NPI 1992836068
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Freddy Mas Vargas, MT

  • Clinical Medical Laboratory
  • Aguada, PR
  • NPI 1346232410
  NPD Authorized official

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1962730192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006020745",
            "telephone_number": "787-832-8385",
            "fax_number": "787-832-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 348 KM 4 HM 8",
            "address_2": "BARRIO MALEZAS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-832-8385",
            "fax_number": "787-832-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDDY MAS VARGAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "MAS VARGAS",
        "authorized_official_first_name": "FREDDY",
        "authorized_official_title_or_position": "MS MT/GENERAL SUPERVISOR",
        "authorized_official_telephone_number": "787-832-8385",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO JERUSALEN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LABORATORIO CLINICO JERUSALEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Frontera Colon & Suarez - Radiologos PSC

• Clinical Medical Laboratory in Mayaguez, PR
• Providers in Mayaguez, 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 Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.