NPIMap

Organization Active NPI

Laboratorio Clinico San Fernando

  • Clinical Medical Laboratory
  • Bayamon, PR
National Provider Identifier
1013109859
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
481 Issued in PR
Legal business name
LABORATORIO CLINICO SAN FERNANDO
Practice address
A31 Calle 1
Ext Villa Rica
Bayamon, PR 00959-5019
Phone
(787) 642-1212
Fax
(787) 288-0774
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Mrs. Nelson Stuart, MT
Title
Director
Phone
(787) 642-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 481 PR Primary

Addresses

Primary practice location

A31 Calle 1
Ext Villa Rica
Bayamon, PR 00959-5019

Mailing address

36 Calle Barcelo
Esquina Palmer
Toa Alta, PR 00953-2465
Phone (787) 870-2467

Other names 1

  • LABORATORIO CLINICO SAN FERNANDO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Clinico Caribe2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1013109859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CALLE BARCELO",
            "address_2": "ESQUINA PALMER",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009532465",
            "telephone_number": "787-870-2467",
            "fax_number": "787-870-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A31 CALLE 1",
            "address_2": "EXT VILLA RICA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009595019",
            "telephone_number": "787-642-1212",
            "fax_number": "787-288-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO SAN FERNANDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-642-1212",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO SAN FERNANDO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.