NPIMap

Organization Active NPI

Liza M. Montes Santiago Dba Innova Lab

  • Clinical Medical Laboratory
  • Yauco, PR
National Provider Identifier
1053941013
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LIZA M. MONTES SANTIAGO DBA INNOVA LAB
Doing business as
Innova Lab
Practice address
52 Calle Mattei Lluberas
Yauco, PR 00698-3666
Phone
(787) 856-4005
Fax
(787) 856-4005
NPI assigned
Jan 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Mrs. Liza M MontesNPI 1205261112
Title
Owner
Phone
(787) 856-4005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

52 Calle Mattei Lluberas
Yauco, PR 00698-3666

Mailing address

52 Calle Mattei Lluberas
Yauco, PR 00698-3666
Phone (787) 856-4005

Other names 1

  • Innova Lab Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL innovalab614@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1053941013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 CALLE MATTEI LLUBERAS",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983666",
            "telephone_number": "787-856-4005",
            "fax_number": "787-856-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 CALLE MATTEI LLUBERAS",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006983666",
            "telephone_number": "787-856-4005",
            "fax_number": "787-856-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZA M. MONTES SANTIAGO DBA INNOVA LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "LIZA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-856-4005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "innovalab614@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "52 Calle Mattei Lluberas",
            "city": "Yauco",
            "state": "PR",
            "country_code": "US",
            "postal_code": "006983666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Innova Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yauco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.