Active NPI
Lisaida Medina Mendez, MT,ASCP
- Clinical Medical Laboratory
- Barranquitas, PR
National Provider Identifier
1982741815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 232
- Practice address
- 8 Calle Barcelo
Barranquitas, PR 00794-1776 - Phone
- (787) 857-2246
- Fax
- (787) 857-1852
- NPI assigned
- Jan 31, 2007
- 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 | 232 | PR | Primary |
Addresses
Primary practice location
8 Calle Barcelo
Barranquitas, PR 00794-1776
Mailing address
PO Box 780
Dorado, PR 00646-0780
Phone (787) 857-2246
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)
- Enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232 | PR | MD | Clinical Medical Laboratory |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186099200000",
"number": "1982741815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 780",
"city": "DORADO",
"state": "PR",
"postal_code": "006460780",
"telephone_number": "787-857-2246",
"fax_number": "787-857-1852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 CALLE BARCELO",
"city": "BARRANQUITAS",
"state": "PR",
"postal_code": "007941776",
"telephone_number": "787-857-2246",
"fax_number": "787-857-1852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA MENDEZ",
"first_name": "LISAIDA",
"name_prefix": "Mrs.",
"credential": "MT,ASCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barranquitas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.