NPI Code Detail JSON Logo

1770925109 NPI number — INTEGRATED PATHOLOGY PSC

NPI Number: 1770925109
Health Care Provider/Practitioner: INTEGRATED PATHOLOGY PSC

Information about “1770925109” NPI (INTEGRATED PATHOLOGY PSC) exists in 1770925109 in HTML format HTML  |  1770925109 in plain Text format TXT  |  1770925109 in PDF (Portable Document Format) PDF  |  1770925109 in an XML format XML  formats.

NPI Number : 1770925109 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770925109",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "INTEGRATED PATHOLOGY PSC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "220 PLAZA WESTERN AUTO STE 101",
    "SecondLineMailingAddress": "PMB 395",
    "MailingAddressCityName": "TRUJILLO ALTO",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00976-3607",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-305-5200",
    "MailingAddressFaxNumber": "787-761-4526",
    "FirstLinePracticeLocationAddress": "220 PLAZA WESTERN AUTO STE 101",
    "SecondLinePracticeLocationAddress": "PMB 395",
    "PracticeLocationAddressCityName": "TRUJILLO ALTO",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00976-3607",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-305-5200",
    "PracticeLocationAddressFaxNumber": "787-761-4526",
    "EnumerationDate": "07/26/2013",
    "LastUpdateDate": "08/22/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CARLO VARGAS",
    "AuthorizedOfficialFirstName": "VICTOR",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "787-412-4477",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": "1291",
        "LicenseNumberStateCode": "PR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.