Organization Active NPI

Laboratorio Clinico Adams

  • Clinical Medical Laboratory
  • Aguadilla, PR
National Provider Identifier
1053383216
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORIO CLINICO ADAMS
Practice address
Carratera #2 KM 122.0
Barrio Corrales Frente Escuela Adams
Aguadilla, PR 00605
Phone
(787) 882-5975
NPI assigned
Feb 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Mr. Ivan A Lopenena Baireto, PROPIETARIO
Title
Propietario
Phone
(787) 882-5915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Carratera #2 KM 122.0
Barrio Corrales Frente Escuela Adams
Aguadilla, PR 00605

Mailing address

PO Box 3088
Aguadilla, PR 00605
Phone (787) 882-5975

Other identifiers 4

IdentifierTypeStateIssuer
1010207OtherBLUE CROSS
400689OtherPRESERV HIATH
6030092OtherHUMANA
31489OtherTRIPLE S

National Provider Directory

National Provider Directory
Tax ID family
Farmacia Sagrado Corazon2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1053383216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3088",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00605",
            "telephone_number": "787-882-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRATERA #2 KM 122.0",
            "address_2": "BARRIO CORRALES FRENTE ESCUELA ADAMS",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00605",
            "telephone_number": "787-882-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO ADAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "LOPENENA BAIRETO",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROPIETARIO",
        "authorized_official_telephone_number": "787-882-5915",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PROPIETARIO"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1010207",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESERV HIATH",
            "identifier": "400689",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "6030092",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "31489",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.