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 | | 266 | 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 | 20425 | OTHER | PUERTO RICO | PREFFERED MEDICARE CHOICE |
| 2 | 30387CL | OTHER | PUERTO RICO | SSS & SSS OPTIMO |
| 3 | ITIN | OTHER | PUERTO RICO | FIRST PLUS MEDICARE ADVAN |
| 4 | ITIN | OTHER | PUERTO RICO | OPTION HEALTHCARE |
| 5 | LA0066 | OTHER | PUERTO RICO | PALIC- PANAMERICAN LIFE |
| 6 | 400643 | OTHER | PUERTO RICO | UTI- PREFFERED HEALTH |
| 7 | 0038261 | MEDICARE UPIN | PUERTO RICO | |
| 8 | 800210 | OTHER | PUERTO RICO | MEDICARE Y MUCHO MAS-MMM |
| 9 | 8392 | OTHER | PUERTO RICO | FIRST MEDICAL- I.M.C. |
| 10 | 50370 | OTHER | PUERTO RICO | CRUZ AZUL |
| 11 | 011266 | OTHER | PUERTO RICO | GLOBAL HEALTH |
| 12 | 1049 | OTHER | PUERTO RICO | AMERICAN HEALTH |
| 13 | 40D0658056 | OTHER | PUERTO RICO | CLIA |
| 14 | ITIN | OTHER | PUERTO RICO | CIGNA & CIGNA EXCLUSIVE |
| 15 | ITIN | OTHER | PUERTO RICO | COSVI |
| 16 | 30387 | OTHER | PUERTO RICO | MEDICARE OPTIMO |
| 17 | 6300078 | OTHER | PUERTO RICO | HUMANA |
| 18 | ITIN | OTHER | PUERTO RICO | MAPFRE & MAPFRE MEDICARE |
| 19 | ITIN | OTHER | PUERTO RICO | MCS & MCS CLASSICARE |
| 20 | ITIN | OTHER | PUERTO RICO | MCS REFORMA |