NPIMap

Organization Active NPI

Laboratorio Clinico Paseo del Rio, LLC

  • Clinical Medical Laboratory
  • Caguas, PR
National Provider Identifier
1043067937
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORIO CLINICO PASEO DEL RIO, LLC
Practice address
Carretera 183 KM 4.8
Barrio Tomas de Castro II
Caguas, PR 00725
Phone
(787) 653-7272
NPI assigned
Apr 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Mrs. Yanira Solano MartinezNPI 1902064066
Title
Presidenta
Phone
(787) 653-7272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Carretera 183 KM 4.8
Barrio Tomas de Castro II
Caguas, PR 00725

Mailing address

PO Box 4960
PMB 497
Caguas, PR 00726
Phone (787) 653-7272

Other names 1

  • Laboratorio Clinico Paseo Del Rio Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241122004339 PR Part B Supplier - Independent Clinical Laboratory 8628503935 1 other NPI on this enrollment
Practice locations: Caguas, PR; San Lorenzo, PR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lab Clinico Paseo del Rio LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1043067937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4960",
            "address_2": "PMB 497",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-653-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 183 KM 4.8",
            "address_2": "BARRIO TOMAS DE CASTRO II",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-653-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO PASEO DEL RIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "SOLANO MARTINEZ",
        "authorized_official_first_name": "YANIRA",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-653-7272",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Paseo Del Rio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laboratorio Clinico Paseo Del Rio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.