NPIMap

Organization Active NPI

Joel Estrada Mangual

Doing business as Laboratorio Clinico Garrochales

  • Clinical Medical Laboratory
  • Arecibo, PR
National Provider Identifier
1053452888
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
983 Issued in PR
Legal business name
JOEL ESTRADA MANGUAL
Doing business as
Laboratorio Clinico Garrochales
Practice address
Carretera 682 KM 6.7
Barrio Garrochales
Arecibo, PR 00652
Phone
(787) 846-1747
NPI assigned
Feb 12, 2007
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Joel Estrada, MT
Title
Owner
Phone
(787) 846-1747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 983 PR Primary

Addresses

Primary practice location

Carretera 682 KM 6.7
Barrio Garrochales
Arecibo, PR 00652

Mailing address

Sabanera del Rio
Camino de Los Lirios 353
Gurabo, PR 00778
Phone (787) 744-2016

Other names 1

  • LABORATORIO CLINICO GARROCHALES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Joel Estrada Mangual3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1053452888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SABANERA DEL RIO",
            "address_2": "CAMINO DE LOS LIRIOS 353",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-744-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 682 KM 6.7",
            "address_2": "BARRIO GARROCHALES",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00652",
            "telephone_number": "787-846-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL ESTRADA MANGUAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-846-1747",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO GARROCHALES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.