Organization Active NPI

Laboratorio Neoclinico 2, Inc

  • Clinical Medical Laboratory
  • Toa Alta, PR
National Provider Identifier
1043032345
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORIO NEOCLINICO 2, INC
Practice address
Carr 861 KM 6.4 Local 2
Sector Pinas Bo Mucarabones
Toa Alta, PR 00953-9999
Phone
(787) 925-1840
NPI assigned
Oct 28, 2024
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Mrs. Darling T Pantoja Marrero
Title
Presidenta
Phone
(787) 925-1840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Carr 861 KM 6.4 Local 2
Sector Pinas Bo Mucarabones
Toa Alta, PR 00953-9999

Mailing address

PMB 164 PO Box 4002
Vega Alta, PR 00692-4002
Phone (787) 925-1840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250715000822 PR Part B Supplier - Independent Clinical Laboratory 0840705208 Practice locations: Toa Alta, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1043032345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 164 PO BOX 4002",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006924002",
            "telephone_number": "787-925-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 861 KM 6.4 LOCAL 2",
            "address_2": "SECTOR PINAS BO MUCARABONES",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009539999",
            "telephone_number": "787-925-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO NEOCLINICO 2, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "PANTOJA MARRERO",
        "authorized_official_first_name": "DARLING",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-925-1840",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.