Laboratorio Clinico Llanadas, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1133 Issued in PR

Legal business name

LABORATORIO CLINICO LLANADAS, INC

Practice address

Ave 140 Llanadas Medical Plaza
Suite 3
Barceloneta, PR 00617-0000

Phone

(787) 846-6323

Fax

(787) 846-3081

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Zulma Rodriguez Pantoja, M.T.

Title

Director

Phone

(787) 846-6323

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": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1033306139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 AVE COLON",
            "address_2": "SUITE 3",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744929",
            "telephone_number": "787-846-6323",
            "fax_number": "787-846-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE 140 LLANADAS MEDICAL PLAZA",
            "address_2": "SUITE 3",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006170000",
            "telephone_number": "787-846-6323",
            "fax_number": "787-846-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO LLANADAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "PANTOJA",
        "authorized_official_first_name": "ZULMA",
        "authorized_official_middle_name": "RODRIGUEZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-846-6323",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Janet Latorre, R.PH
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• Clinical Medical Laboratory in Barceloneta, PR
• Providers in Barceloneta, 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 Oct 2, 2007; 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.