MEDICARE: NILSA IVETTE SANCHEZ SHUMATE/LABORATORIO CLINICO MODELO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory	523	PR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1000	OTHER	PR	AMERICAN HEALTH MEDICARE
2	20141	OTHER	PR	PREFERRED MEDICARE CHOICE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	3-0315	OTHER	PR	SSS, OPTIMO, SELECTO
4	400646	OTHER	PR	PREFERRED HEALTH
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	011-523	OTHER	PR	GLOBAL HEALTH PLAN
7	LA-0244	OTHER	PR	PALIC
8	0794	OTHER	PR	INTERNATIONAL MEDICAL CAR
9	1349	OTHER	PR	APS
10	20200	OTHER	PR	AMERICAN HEALTH
11	800047	OTHER	PR	MMM
12	962-0064	OTHER	PR	HUMANA

General Provider Information

NPI Number	:	1932186855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NILSA IVETTE SANCHEZ SHUMATE/LABORATORIO CLINICO MODELO

Provider Business Mailing Address
First Line	:	PO BOX 598
Second Line	:
City	:	CATANO
State	:	PR
Zip	:	00963-0598
Country	:	US
Telephone Number	:	787-788-1428
Fax Number	:	787-788-2409

Provider Business Practice Location Address
First Line	:	170 AVE BARBOSA
Second Line	:
City	:	CATANO
State	:	PR
Zip	:	00962
Country	:	US
Telephone Number	:	787-788-1428
Fax Number	:	787-788-2409

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. NILSA I SANCHEZ SHUMATE
Credential	:	BA
Telephone Number	:	787-788-1428

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	09/13/2023

Similar Medicare Providers

1689665325 — DR. MANUEL EMILIO GUERRERO-JIMENEZ MD
Practice Location Address:

CALLE 19 LOCAL 4 , LAS PALMAS VILLAS
CATANO, PR
00962

Practice Phone: 787-788-5297
Practice Fax: 787-788-5297

1548245939 — DR. FERNANDO GERENA NIEVES M.D ,D.A.B.A ,F.ABPM
Practice Location Address:

65 CALLE LOS MANGOS , CENTRO INT .DE MERCADEO 1 SUITE 301
CATANO, PR
00962-5830

Practice Phone: 787-641-9871
Practice Fax: 787-641-9874

1104801273 — DR. JOSE ROY VAZQUEZ-MALDONADO M.D.
Practice Location Address:

16 CALLE PRINCIPAL , URB. BAY VIEW
CATANO, PR
00962-4269

Practice Phone: 787-404-1668
Practice Fax:

1407833304 — AGA LINDE HEALTHCARE PR INC
Practice Location Address:

CARR 869 KM 2.0 PALMAS VILLAGE , BO. PALMAS
CATANO, PR
00962

Practice Phone: 787-620-8120
Practice Fax: 787-620-8267

1073590949 — AGA LINDE HEALTHCARE PR INC
Practice Location Address:

ROAD 869 KM 2.0 PALMAS VILLAGE , BO. PALMAS
CATANO, PR
00962

Practice Phone: 787-620-8120
Practice Fax: 787-620-8267

1952376279 — KCI MEDICAL PUERTO RICO, INC.
Practice Location Address:

201 CARR 869
CATANO, PR
00962-7015

Practice Phone: 787-275-3000
Practice Fax:

Directions to “NILSA IVETTE SANCHEZ SHUMATE/LABORATORIO CLINICO MODELO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.