Laboratorio Clinico Stella Mikaela Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

642 Issued in PR

Legal business name

LABORATORIO CLINICO STELLA MIKAELA INC.

Practice address

B10 Calle 2
Villa Real
Vega Baja, PR 00693-4557

Phone

(787) 855-3060

Fax

(787) 855-3060

NPI assigned

Jul 21, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Maria A Sepulveda, 1361

Title

President

Phone

(787) 855-3060

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1023248333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4571",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006944571",
            "telephone_number": "787-855-3060",
            "fax_number": "787-855-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B10 CALLE 2",
            "address_2": "VILLA REAL",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934557",
            "telephone_number": "787-855-3060",
            "fax_number": "787-855-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO STELLA MIKAELA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "SEPULVEDA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-855-3060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "1361"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Javier Laguer
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• Clinical Medical Laboratory in Vega Baja, PR
• Providers in Vega Baja, 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 Jul 21, 2009; 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.