Laboratorio Clinico Sandon Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

362 Issued in PR

Legal business name

LABORATORIO CLINICO SANDON INC

Practice address

12 Calle Bertoly
Ponce, PR 00730-3060

Phone

(787) 844-4655

Fax

(787) 843-7868

NPI assigned

May 27, 2005

Last updated

Nov 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Beverlyn D Acevedo, MT

Title

Owner

Phone

(787) 502-9700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1013910512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335028",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007335028",
            "telephone_number": "787-844-4655",
            "fax_number": "787-843-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CALLE BERTOLY",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303060",
            "telephone_number": "787-844-4655",
            "fax_number": "787-843-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO SANDON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "BEVERLYN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-502-9700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Margimar Inc
• Laboratorio Clinico Munoz Rivera
• Laboratorio Clinico Paseo del Sur Inc
• Laboratorio Clinico Punta Diamante
• Laboratorio Clinico Rodriguez Stella Inc (Laboratorio Clinico Costa Caribe)
• Laboratorio Clinico Santa Maria
• Laboratorio Clinico Serhant
• Laboratorio Concordia Lugaro
• Laboratorio la Providencia de Ponce
• Laboratorio Vascular Clinico Ponce Inc

• Clinical Medical Laboratory in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.