Active NPIOrganization

Edgardo Roman

Clinical Medical Laboratory in Toa Baja, Puerto Rico

NPI Number1164586483
Practice location
10 Dr Alvarez Chanca Street, Esq Ave Sabana Seca, Toa Baja, PR 00949
Fax
787-261-3113
Last updated
February 9, 2015

Edgardo Roman is a healthcare organization based in Toa Baja, PR. Edgardo Roman practices in Toa Baja, PR. The NPI Number for Edgardo Roman is 1164586483 and holds a License No. 5715 (PR). The current practice location address for Edgardo Roman is 10 Dr Alvarez Chanca Street, Esq Ave Sabana Seca, Toa Baja, PR 00949 and can be reached out via phone at 787-995-4912 and via fax at 787-261-3113.

Provider Profile Details

NPI Number
1164586483
Provider Name
Edgardo Roman
Provider Entity Type
Organization
Address
10 Dr Alvarez Chanca Street, Esq Ave Sabana Seca, Toa Baja, PR 00949
Phone Number
787-995-4912
Fax Number
787-261-3113
Primary Taxonomy
Clinical Medical Laboratory · 291U00000X
Organization Subpart
No
Authorized Official
Ms. Brenda Liz Vazquez Bolorin, MT · Medical Tecnologist · 787-261-3100
Other Names
Laboratorio Clinico Lagos De Plata (Doing Business As)
Provider Enumeration Date
December 21, 2006
Last Update Date
February 9, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Dr Alvarez Chanca Street
Esq Ave Sabana Seca
Toa Baja, PR 00949
Zip
00949
Phone Number
787-995-4912
Fax Number
787-261-3113
Toa Baja, PR 00949Get directions →

Provider Business Mailing Address Details

Address
M5 Quintas Del Rio
Camino Del Hostal
Bayamon, PR 00961
City
Bayamon
State
PR
Zip
00961
Phone Number
787-261-3100
Fax Number
787-261-3113

License Information

License Number
5715
License State
PR
Taxonomy
Clinical Medical Laboratory · 291U00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Edgardo Roman?

The NPI number of Edgardo Roman is 1164586483. It was assigned on December 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Edgardo Roman?

Edgardo Roman is registered under the primary taxonomy Clinical Medical Laboratory (code 291U00000X), licensed in PR under license number 5715.

Where does Edgardo Roman practice?

The practice location is 10 Dr Alvarez Chanca Street, Esq Ave Sabana Seca, Toa Baja, PR 00949. The office can be reached at 787-995-4912 (phone) or 787-261-3113 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164586483 directly on the NPPES registry website.

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