Active NPI
Laboratorio Clinico Turabo Inc
- Clinical Medical Laboratory
- Caguas, PR
National Provider Identifier
1043216781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 477
- Legal business name
- LABORATORIO CLINICO TURABO INC
- Practice address
- Villa Carmen B 17 Gautier Benitez Ave.
Caguas, PR 00725 - Phone
- (787) 743-8980
- Fax
- (787) 258-3201
- NPI assigned
- Jun 27, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Myrna Trinidad, M.T.
- Title
- Director
- Phone
- (787) 743-8980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 477 | PR | Primary |
Addresses
Primary practice location
Villa Carmen B 17 Gautier Benitez Ave.
Caguas, PR 00725
Mailing address
PO Box 5638
Caguas, PR 00726-5638
Phone (787) 743-8980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 477 | Other | PR | PR LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060428000526 | PR | Part B Supplier - Independent Clinical Laboratory | 7911917380 | Practice locations: Caguas, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043216781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5638",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007265638",
"telephone_number": "787-743-8980",
"fax_number": "787-258-3201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VILLA CARMEN B 17 GAUTIER BENITEZ AVE.",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-743-8980",
"fax_number": "787-258-3201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO TURABO INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TRINIDAD",
"authorized_official_first_name": "MYRNA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "787-743-8980",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.T."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "477",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PR LICENSE",
"identifier": "477",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
- Laboratorio Clinico P Centro Inc
- Laboratorio Clinico Paseo del Rio
- Laboratorio Clinico Paseo del Rio, LLC
- Laboratorio Clinico Sharem
- Laboratorio Clinico Tropical, Inc.
- Laboratorio Clinico Valenciano del Este Inc
- Laboratorio Clinico Veredas, Inc
- Laboratorio Clinico Villa Blanca,LLC
- Laboratorio Nocturno Caguas Inc.
- Laboratorio Teresita Caguas LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.