Organization Active NPI

Las Lomas Laboratory Inc.

  • Clinical Medical Laboratory
  • San Juan, PR
National Provider Identifier
1043283971
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
374 Issued in PR
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
400309OtherPRUTI PREFERRED HEALTH PLAN
31498OtherPRTRIPLE S
6578OtherPRINTERNATIONAL MEDICAL CAR
051822OtherPRLA CRUZ AZUL PR
800313OtherPRMEDICARE Y MUCHO MAS
9210002OtherPRHUMANA INSURANCE
LA0304OtherPRPANAMERICAN LIFE INS
LB374OtherPRUIA

Other names 1

  • Lab. Clinico Las Lomas Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Verify at the official NPI Registry.