Active NPI
Freddy Mas Vargas
- Clinical Medical Laboratory
- Aguada, PR
National Provider Identifier
1992836068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 878
- Legal business name
- FREDDY MAS VARGAS
- Practice address
- Carr. 417 KM 3.0 Bo. Malpaso
Aguada, PR 00602 - Phone
- (787) 868-4453
- Fax
- (787) 868-0780
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Freddy Mas, MT
- Title
- Medical Technologist
- Phone
- (787) 868-4453
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 878 | PR | Primary |
Addresses
Primary practice location
Carr. 417 KM 3.0 Bo. Malpaso
Aguada, PR 00602
Mailing address
PO Box 745
Aguada, PR 00602-0745
Phone (787) 868-4453
Other names 1
- LABORATORIO CLINICO JERUSALEN
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090911000526 | PR | Part B Supplier - Independent Clinical Laboratory | 9032264205 |
1 other NPI on this enrollment Practice locations: Aguada, PR; Mayaguez, PR |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Freddy Mas Vargas
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Mayaguez, PR
- NPI 1962730192
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Medical Laboratory
- Aguada, PR
- NPI 1346232410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779840000000",
"number": "1992836068",
"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": "787-868-4453",
"fax_number": "787-868-0780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 417 KM 3.0 BO. MALPASO",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "787-868-4453",
"fax_number": "787-868-0780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREDDY MAS VARGAS",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A",
"authorized_official_last_name": "MAS",
"authorized_official_first_name": "FREDDY",
"authorized_official_title_or_position": "MEDICAL TECHNOLOGIST",
"authorized_official_telephone_number": "787-868-4453",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MT"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LABORATORIO CLINICO JERUSALEN",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aguada, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.