Active NPI
Alba S Castro, MT
- Clinical Medical Laboratory
- Carolina, PR
National Provider Identifier
1972773992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 887
- Practice address
- Calle Celestial 2392a Los Angeles
Carolina, PR 00979-1655 - Phone
- (787) 791-1318
- NPI assigned
- Mar 5, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 2518 | PR | |
| Clinical Medical Laboratory | 291U00000X | 887 | PR | Primary |
Addresses
Primary practice location
Calle Celestial 2392a Los Angeles
Carolina, PR 00979-1655
Mailing address
Calle Celestial 2392a Los Angeles
Carolina, PR 00979-1655
Phone (787) 791-1318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071127000577 | PR | Part B Supplier - Independent Clinical Laboratory | 1456440569 | Practice locations: Carolina, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 887 | PR | MD | Occupational Therapist |
Locations
2392 Marginal Celestial
#A
Carolina, PR 00979
Phone (787) 791-1318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1972773992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE CELESTIAL 2392A LOS ANGELES",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009791655",
"telephone_number": "787-791-1318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE CELESTIAL 2392A LOS ANGELES",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009791655",
"telephone_number": "787-791-1318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "ALBA",
"middle_name": "S",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-05",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "PR",
"license": "2518",
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.