Active NPI
Laboratorio Clinico Chegar Inc
- Clinical Medical Laboratory
- Rio Grande, PR
National Provider Identifier
1023181732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 00902
- Legal business name
- LABORATORIO CLINICO CHEGAR INC
- Practice address
- Carr Num 3 KM 26.2
Entrada Urb Coco Beach
Rio Grande, PR 00745 - Phone
- (787) 887-6666
- Fax
- (787) 887-6668
- NPI assigned
- Nov 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carmen J Cepeda, B.S.,MT.,AS.CP.
- Title
- Directora
- Phone
- (787) 809-4697
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 00902 | PR | Primary |
Addresses
Primary practice location
Carr Num 3 KM 26.2
Entrada Urb Coco Beach
Rio Grande, PR 00745
Mailing address
PO Box 497
Rio Grande, PR 00745-0497
Phone (787) 887-6666
Other names 1
- LABORATORIO CHEGAR 111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070226000037 | PR | Part B Supplier - Independent Clinical Laboratory | 6901908763 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rio Grande, PR |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- Rio Grande, PR
- NPI 1598855629
O20070226000037
-
- Clinical Medical Laboratory
- Canovanas, PR
- NPI 1689838732
O20070226000037
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367193600000",
"number": "1023181732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 497",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "007450497",
"telephone_number": "787-887-6666",
"fax_number": "787-887-6668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR NUM 3 KM 26.2",
"address_2": "ENTRADA URB COCO BEACH",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "00745",
"telephone_number": "787-887-6666",
"fax_number": "787-887-6668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO CHEGAR INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2013-04-29",
"status": "A",
"authorized_official_last_name": "CEPEDA",
"authorized_official_first_name": "CARMEN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DIRECTORA",
"authorized_official_telephone_number": "787-809-4697",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "B.S.,MT.,AS.CP."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "00902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LABORATORIO CHEGAR 111",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Rio Grande, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.