NPIMap

Organization Active NPI

Laboratorio Clinico del Toa

  • Clinical Medical Laboratory
  • Toa Alta, PR
National Provider Identifier
1003107707
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORIO CLINICO DEL TOA
Practice address
Lilly Mini Mall Carr 165 KM 10.2 Bo. Contorno
Toa Alta, PR 00954-0000
Phone
(787) 486-2768
NPI assigned
Apr 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ilia Colon
Title
Owner
Phone
(787) 486-2768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Lilly Mini Mall Carr 165 KM 10.2 Bo. Contorno
Toa Alta, PR 00954-0000

Mailing address

PO Box 505
Vega Alta, PR 00692-0505
Phone (787) 486-2768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120315000366 PR Part B Supplier - Independent Clinical Laboratory 9830358571 Practice locations: Toa Alta, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1003107707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006920505",
            "telephone_number": "787-486-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LILLY MINI MALL CARR 165 KM 10.2 BO. CONTORNO",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009540000",
            "telephone_number": "787-486-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO DEL TOA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "ILIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-486-2768"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.