Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | 586 | PUERTO RICO | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 051792 | OTHER | PUERTO RICO | CRUZ AZUL PROV # |
| 2 | 800072 | OTHER | PUERTO RICO | MMM HEALTHCARE PROV # |
| 3 | ========= | OTHER | PUERTO RICO | COSVI PROV # |
| 4 | ========= | OTHER | PUERTO RICO | MAPFRE MED PROV # |
| 5 | 0031089 | MEDICARE ID-TYPE UNSPECIFIED | NEW MEXICO | PROVIDER NUMBER |
| 6 | =========4 | OTHER | PUERTO RICO | MCS CLASSIC Y EXCL PRO # |
| 7 | 9850011 | OTHER | PUERTO RICO | HUMANA |
| 8 | ========= | OTHER | PUERTO RICO | COSVI MED PROV # |
| 9 | LA-0273 | OTHER | PUERTO RICO | PALIC PROV # |
| 10 | 31115ZO | OTHER | PUERTO RICO | TRIPLE S PROV # |
| 11 | ========= | OTHER | PUERTO RICO | AMER HEALTH MED PROV # |
| 12 | 8462 | OTHER | PUERTO RICO | IMC PROVIDER # |
| 13 | ========= | OTHER | PUERTO RICO | CIGNA PROV # |
| 14 | =========4 | OTHER | PUERTO RICO | MCS REG Y REFORMA PROV # |
| 15 | =========D | OTHER | PUERTO RICO | MAPFRE PROV # |
| 16 | 20094 | OTHER | PUERTO RICO | AMERICAN HEALTH PROV # |
| 17 | 20115E | OTHER | PUERTO RICO | PMC PROV # |
| 18 | 400262 | OTHER | PUERTO RICO | UTI PREFERRED PROV # |
| 19 | =========-04 | OTHER | PUERTO RICO | FIRST PLUS MED PROV # |
