Active NPIIndividual providerSole proprietor

Jaime Tavarez Sr., MT

Clinical Medical Laboratory in Anasco, Puerto Rico

NPI Number1962680090
Practice location
58 Calle Daguey, Anasco, PR 00610-2603
Fax
787-826-3072
Last updated
July 17, 2013

Jaime Tavarez is a Clinical Medical Laboratory based in Anasco, PR. Jaime Tavarez practices in Anasco, PR and has the professional credentials of MT. The NPI Number for Jaime Tavarez is 1962680090 and holds a License No. 690 (PR). The current practice location address for Jaime Tavarez is 58 Calle Daguey, Anasco, PR 00610-2603 and can be reached out via phone at 787-826-3072 and via fax at 787-826-3072.

Provider Profile Details

NPI Number
1962680090
Provider Name
Jaime Tavarez
Credential
MT
Provider Entity Type
Individual
Gender
Male
Address
58 Calle Daguey, Anasco, PR 00610-2603
Phone Number
787-826-3072
Fax Number
787-826-3072
Primary Taxonomy
Clinical Medical Laboratory · 291U00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 31, 2008
Last Update Date
July 17, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
58 Calle Daguey
Anasco, PR 00610-2603
City
Anasco
Zip
00610-2603
Phone Number
787-826-3072
Fax Number
787-826-3072
Anasco, PR 00610Get directions →

Provider Business Mailing Address Details

Address
Po Box 956
Isabela, PR 00662-0956
City
Isabela
State
PR
Zip
00662-0956
Phone Number
787-872-3480
Fax Number
787-872-3480

License Information

License Number
690
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 Jaime Tavarez Sr., MT?

The NPI number of Jaime Tavarez Sr., MT is 1962680090. It was assigned on January 31, 2008 and is currently active in the NPPES registry.

What is the specialty of Jaime Tavarez Sr., MT?

Jaime Tavarez Sr., MT is registered under the primary taxonomy Clinical Medical Laboratory (code 291U00000X), licensed in PR under license number 690.

Where does Jaime Tavarez Sr., MT practice?

The practice location is 58 Calle Daguey, Anasco, PR 00610-2603. The office can be reached at 787-826-3072 (phone) or 787-826-3072 (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 1962680090 directly on the NPPES registry website.

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