Organization Active NPI

Laboratorio Clinico Turabo Inc

  • Clinical Medical Laboratory
  • Caguas, PR
National Provider Identifier
1043216781
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
477 Issued in PR
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
477OtherPRPR LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060428000526 PR Part B Supplier - Independent Clinical Laboratory 7911917380 Practice locations: Caguas, PR

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.