NPIMap

Organization Active NPI

Laboratorio Clinico San Juan Inc

Doing business as Laboratorio Clinico Andaluz

  • Clinical Medical Laboratory
  • Dorado, PR
National Provider Identifier
1053765354
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
812 Issued in PR
Legal business name
LABORATORIO CLINICO SAN JUAN INC
Doing business as
Laboratorio Clinico Andaluz
Practice address
425 Carr 693 Ste 1
PMB 132
Dorado, PR 00646-4817
Phone
(787) 554-4272
NPI assigned
Apr 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Authorized official

Name
Ms. Carmen L Arrieta
Title
Presidente
Phone
(787) 756-7128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 812 PR Primary

Addresses

Primary practice location

425 Carr 693 Ste 1
PMB 132
Dorado, PR 00646-4817

Mailing address

JL-32 Avenida Carlos Javier Andaluz
Royal Palm
Bayamon, PR 00956-0000
Phone (787) 756-7128

Other names 1

  • LABORATORIO CLINICO ANDALUZ Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1053765354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JL-32 AVENIDA CARLOS JAVIER ANDALUZ",
            "address_2": "ROYAL PALM",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009560000",
            "telephone_number": "787-756-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CARR 693 STE 1",
            "address_2": "PMB 132",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464817",
            "telephone_number": "787-554-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO SAN JUAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "ARRIETA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-756-7128",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO ANDALUZ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.