Organization Active NPI

Laboratorio Clinico Tintillo

  • Clinical Medical Laboratory
  • Guaynabo, PR
National Provider Identifier
1023000361
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
552 Issued in PR
Legal business name
LABORATORIO CLINICO TINTILLO
Practice address
12 Calle Buen Samaritano
Juan Domingo
Guaynabo, PR 00966-7934
Phone
(787) 783-5686
Fax
(787) 707-0818
NPI assigned
Aug 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Mrs. Marlen J. Pou, BS, MT
Title
Director
Phone
(787) 783-5686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 552 PR Primary

Addresses

Primary practice location

12 Calle Buen Samaritano
Juan Domingo
Guaynabo, PR 00966-7934

Mailing address

PO Box 194690
San Juan, PR 00919-4690
Phone (787) 783-5686

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1023000361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 194690",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009194690",
            "telephone_number": "787-783-5686",
            "fax_number": "787-707-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CALLE BUEN SAMARITANO",
            "address_2": "JUAN DOMINGO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009667934",
            "telephone_number": "787-783-5686",
            "fax_number": "787-707-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO TINTILLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "POU",
        "authorized_official_first_name": "MARLEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-783-5686",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS, MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.