Active NPI
Las Lomas Laboratory Inc.
- Clinical Medical Laboratory
- San Juan, PR
National Provider Identifier
1043283971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 374
- Legal business name
- LAS LOMAS LABORATORY INC.
- Practice address
- Ave. Jesus T Pinero Esq. Ave. San Patricio Local 32
Las Lomas Profesional Center
San Juan, PR 00921-1489 - Phone
- (787) 792-1824
- Fax
- (787) 783-6350
- NPI assigned
- Feb 10, 2006
- Organization subpart
- Yes
- Parent organization
- LAS LOMAS LABORATORY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Wilson Lopez-Lopez
- Title
- Presidente
- Phone
- (787) 792-1824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 374 | PR | Primary |
Addresses
Primary practice location
Ave. Jesus T Pinero Esq. Ave. San Patricio Local 32
Las Lomas Profesional Center
San Juan, PR 00921-1489
Mailing address
PO Box 367027
San Juan, PR 00936-7027
Phone (787) 792-1824
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400309 | Other | PR | UTI PREFERRED HEALTH PLAN |
| 31498 | Other | PR | TRIPLE S |
| 6578 | Other | PR | INTERNATIONAL MEDICAL CAR |
| 051822 | Other | PR | LA CRUZ AZUL PR |
| 800313 | Other | PR | MEDICARE Y MUCHO MAS |
| 9210002 | Other | PR | HUMANA INSURANCE |
| LA0304 | Other | PR | PANAMERICAN LIFE INS |
| LB374 | Other | PR | UIA |
Other names 1
- Lab. Clinico Las Lomas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060127000366 | PR | Part B Supplier - Independent Clinical Laboratory | 4587678677 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Part of
- Las Lomas Laboratory Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447977600000",
"number": "1043283971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 367027",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009367027",
"telephone_number": "787-792-1824",
"fax_number": "787-783-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. JESUS T PINERO ESQ. AVE. SAN PATRICIO LOCAL 32",
"address_2": "LAS LOMAS PROFESIONAL CENTER",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009211489",
"telephone_number": "787-792-1824",
"fax_number": "787-783-6350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAS LOMAS LABORATORY INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LAS LOMAS LABORATORY INC",
"enumeration_date": "2006-02-10",
"last_updated": "2015-11-20",
"status": "A",
"authorized_official_last_name": "LOPEZ-LOPEZ",
"authorized_official_first_name": "WILSON",
"authorized_official_title_or_position": "PRESIDENTE",
"authorized_official_telephone_number": "787-792-1824",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTI PREFERRED HEALTH PLAN",
"identifier": "400309",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "31498",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL MEDICAL CAR",
"identifier": "6578",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA CRUZ AZUL PR",
"identifier": "051822",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE Y MUCHO MAS",
"identifier": "800313",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA INSURANCE",
"identifier": "9210002",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PANAMERICAN LIFE INS",
"identifier": "LA0304",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UIA",
"identifier": "LB374",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lab. Clinico Las Lomas",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.