Organization Active NPI

Teresita Lab LLC

Doing business as Laboratorio Teresita

  • Clinical Medical Laboratory
  • Bayamon, PR
National Provider Identifier
1043103484
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TERESITA LAB LLC
Doing business as
Laboratorio Teresita
Practice address
Ave. Tnte Nelson Martinez N-59
Alturas de Flamboyan
Bayamon, PR 00959
Phone
(787) 716-7050
NPI assigned
Jun 3, 2025
Last updated
Jul 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Mrs. Jessica Zamara Gonzalez Quijano
Title
Ceo
Phone
(787) 675-0112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Ave. Tnte Nelson Martinez N-59
Alturas de Flamboyan
Bayamon, PR 00959

Mailing address

Mirabella Village
23A Calle Cuarzo
Bayamon, PR 00961
Phone (787) 675-0112

Other practice location 1

295 Ave Pinero Urb Hyde Park
San Juan, PR 00927
Phone (787) 716-7050

Other names 1

  • LABORATORIO TERESITA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Teresita2 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.

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1043103484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MIRABELLA VILLAGE",
            "address_2": "23A CALLE CUARZO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-675-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. TNTE NELSON MARTINEZ N-59",
            "address_2": "ALTURAS DE FLAMBOYAN",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-716-7050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 AVE PINERO URB HYDE PARK",
            "address_purpose": "LOCATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "country_code": "US",
            "telephone_number": "787-716-7050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TERESITA LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-07-02",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ QUIJANO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ZAMARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-675-0112",
        "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 TERESITA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LABORATORIO TERESITA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.