Laboratorio Clinico Pujols, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1022 Issued in PR

Legal business name

LABORATORIO CLINICO PUJOLS, INC.

Practice address

Carr. 111 KM. 17.0
San Sebastian, PR 00685-7012

Phone

(787) 896-7381

Fax

(787) 896-7381

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Daisy Ivette Soto, BBA

Title

Administradora

Phone

(787) 896-7381

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1043329873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3692",
            "address_2": "HATO ARRIBA STATION",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006857012",
            "telephone_number": "787-896-7381",
            "fax_number": "787-896-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 111 KM. 17.0",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006857012",
            "telephone_number": "787-896-7381",
            "fax_number": "787-896-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO PUJOLS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "DAISY",
        "authorized_official_middle_name": "IVETTE",
        "authorized_official_title_or_position": "ADMINISTRADORA",
        "authorized_official_telephone_number": "787-896-7381",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "40D0982044",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Laboratorio Clinico Padua LLC
• Laboratorio Clinico San Antonio
• Mayra I Laguerre Rosa
• Confesor Lasalle-Ruiz, M.D.
• Lassalle & Vissepo Inc
• Ashley Latorre Ortiz, SLP

• Clinical Medical Laboratory in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.