Cidra Medical Labs Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CIDRA MEDICAL LABS INC

Practice address

8 Calle Gautier Benitez
Cidra, PR 00739-3338

Phone

(787) 739-4747

Fax

(787) 714-0522

NPI assigned

Nov 2, 2006

Last updated

Mar 31, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Myrna Garcia, BSMT ACSP

Title

Laboratory Director

Phone

(787) 747-7042

Specialties & licenses 1

Addresses

Other names 1

• Lab Clinico Caribe Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Bahia Medical Laboratories Inc

  • Clinical Medical Laboratory
  • Catano, PR
  • NPI 1629201157

  Member Of

  NPD member

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Bahia Medical Laboratories Inc

  • Clinical Medical Laboratory
  • Catano, PR
  • NPI 1629201157
  NPPES parent name

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1043398241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CALLE GAUTIER BENITEZ",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393338",
            "telephone_number": "787-739-4747",
            "fax_number": "787-714-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CALLE GAUTIER BENITEZ",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393338",
            "telephone_number": "787-739-4747",
            "fax_number": "787-714-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIDRA MEDICAL LABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "787-747-7042",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSMT ACSP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lab Clinico Caribe",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Centros Medicos Integrados de la Montana
• Cidra & Montana, LLC
• Cidra Emergency Group
• Cidra ER Group Inc
• Cidra Investments and Management Inc
• Cidra Medigroup
• Cidra Optical
• Clinica Cardiovascular MD C S P
• Clinica Dental Familiar Cidrena
• Clinica Fonarti

• Clinical Medical Laboratory in Cidra, PR
• Providers in Cidra, 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 Mar 31, 2014; 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.