MEDITEST DIAGNOSTIC (NPI# 1396826780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396826780 |
| Entity Type | Organization |
| Organization Name | MEDITEST DIAGNOSTIC |
| Practice Address |
700 Calle Dr Pavia Fernandez Ave. Fernandez Juncos Suite 201 San Juan PR 00909-2758 |
| Mailing Address |
Po Box 8700 San Juan PR 00910-0700 |
| Practice Telephone | 7877263724 |
| Practice Fax Number | 7877263724 |
| Mailing Telephone | 7877263724 |
| Mailing Fax Number | 7877263724 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JUAN CARLOS ROBERT (ADMINISTRATOR) |
| Authorized Official Telephone | 7877263724 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | PR | Laboratories |
| Street Address |
700 CALLE DR PAVIA FERNANDEZ AVE. FERNANDEZ JUNCOS SUITE 201 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00909-2758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073500096 | Silvio R Martinez Ruiz | General Practice | 700 Calle Dr Pavia Fernandez, Suite 205, San Juan, PR 00909-2758 | 2005-10-04 |
| 1922522010 | Victor Ivan Diaz Jr. | Prevention Professional | 700 Calle Dr Pavia Fernandez, San Juan, PR 00909-2758 | 2017-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467713 | Stephanie Maldonado | Specialist | Condominio Asia, 1503 Calle Prof. Augusto Rodriguez, Suite 600, San Juan, PR 00909 | 2020-11-04 |
| 1588262893 | The Auffant Recruitment Group, Inc | Nursing Care | 312 Jose De Diego Avenue, Suite 601, San Juan, PR 00909 | 2020-10-09 |
| 1538766118 | Jose Gilberto Agosto | Pharmacy Technician | 1507 Calle Augusto Rodriguez, San Juan, PR 00909 | 2020-10-06 |
| 1629682125 | Grupo Med | Hospitalist | First Federal Building Suite 302, 1519 Ave Ponce De Leon, San Juan, PR 00909 | 2020-09-02 |
| 1053934992 | Abigail Hernandez | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez Condominio Asia, Suit 600, San Juan, PR 00909 | 2020-05-27 |
| 1477186062 | We Bones | Durable Medical Equipment & Medical Supplies | Ponce De Leon 1612 1er Piso Oficinai/2, San Juan, PR 00909 | 2020-02-21 |
| 1790335602 | Hamid Corp | Pharmacy | 615 Ave. Manuel Pavia, San Juan, PR 00909 | 2019-09-13 |
| 1629625850 | Ian Javier Vazquez | Dietitian, Registered | 1456 Calle Prof. Augusto Rodriguez, San Juan, PR 00909 | 2019-08-22 |
| 1083277966 | Gerald Manuel Garcia Rivera | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez, Cond. Asia, Suite 600, San Juan, PR 00909 | 2019-04-17 |
| 1659839264 | Carla Ortiz | Naturopath | 1511 Avenida Juan Ponce De Leon, San Juan, PR 00909 | 2019-03-04 |
| Find all providers in zip 00909 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306151956 | Servicios Patologicos De Manati | Physiological Laboratory | 400 Calle Kalaf, Pmb 59, San Juan, PR 00918-1314 | 2010-08-06 |
| 1801007794 | Cardiovascular Medical Diagnostic Services | Physiological Laboratory | Urb. Berwind Estates, Calle 17 T-9, San Juan, PR 00924 | 2007-05-24 |
| 1144362088 | Domenech Vascular Laboratory Inc | Physiological Laboratory | 405a Calle Montilla, Urb Parque Central, San Juan, PR 00918-2607 | 2007-02-13 |
| 1952315657 | Global Diagnostics, Inc | Physiological Laboratory | 848 Calle Hostos, Urb. Hyde Park, San Juan, PR 00927-4216 | 2006-07-28 |
| 1972566537 | Centro Neurobiofisiologico De Pr | Physiological Laboratory | 461 Calle America, Esq Francia, San Juan, PR 00917-3208 | 2006-04-06 |
| 1093041444 | Centro Neurodiagnostico, Inc. | Physiological Laboratory | A2 Calle Lodi, Villa Luarca, San Juan, PR 00924-3804 | 2009-10-20 |
| 1710186341 | Ashford Sports & Wellness Medicine Center | Physiological Laboratory | 1451 Ashford, San Juan, PR 00907-1511 | 2007-07-13 |
| 1588707012 | Vascular Interpretation Group Psc | Physiological Laboratory | 405a Calle Montilla, Urb Parque Central, San Juan, PR 00918-2607 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820820 | Stat Mobile Diagnostic Imaging Group LLC | Physiological Laboratory | Metro Park 7, Street # 1, Suite 305, Guaynabo, PR 00968 | 2020-10-30 |
| 1972126258 | Neuropedeegpr LLC | Physiological Laboratory | Calle San Jorge #258 San Jorge Medical Building Suite 3, Santurce, PR 00912 | 2020-05-21 |
| 1760908727 | Diagnostic Cardiovascular Center LLC | Physiological Laboratory | A4 Calle Saboya, Villa Del Rey 3ra Seccion, Caguas, PR 00726 | 2017-08-21 |
| 1982067773 | Cormed LLC | Physiological Laboratory | 7 Metro Office Park, Suite 204, Guaynabo, PR 00968 | 2016-03-30 |
| 1114319183 | Vascular Diagnostic Group Corp Psc | Physiological Laboratory | Res Villa Del Rey # 3, Saboya A4, Caguas, PR 00725-7113 | 2015-02-26 |
| 1659659654 | Ponce De Leon Medical Diagnostic | Physiological Laboratory | Calle Bromelia 8 Parque De Bucarest, Guaynabo, PR 00969-0000 | 2011-07-26 |
| 1497936868 | R & R Ultrasound Center Corp. | Physiological Laboratory | Calle Munoz Rivera 136, Suite 5, Guayanilla, PR 00656-4355 | 2007-11-14 |
| 1992993208 | Borinqen Ultrasound, Inc. | Physiological Laboratory | Urb Santa Rosa Bloque 16 # 34, Bayamon, PR 00959 | 2007-10-11 |
| 1356535462 | Centro Tecnico Cardiovascular Y Periferovascular | Physiological Laboratory | Center for Medical Specialities, Road 693 Km. 5.8, Dorado, PR 00949 | 2007-08-31 |
| 1093905317 | Evelyn Diaz | Physiological Laboratory | Carr693 Km5.8 Center for Medical Specialtes Building A, Dorado, PR 00646 | 2007-08-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.