NPIMap

Organization Active NPI

Laboratorio Clinico San Antonio

  • Clinical Medical Laboratory
  • Quebradillas, PR
National Provider Identifier
1063665743
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1168 Issued in PR
Legal business name
LABORATORIO CLINICO SAN ANTONIO
Practice address
Road 113 KM 13 6
Bo San Antonio
Quebradillas, PR 00678-0894
Phone
(787) 895-4203
Fax
(787) 895-4203
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Mrs. Omayra Velez
Title
Owner
Phone
(787) 895-4203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1168 PR Primary

Addresses

Primary practice location

Road 113 KM 13 6
Bo San Antonio
Quebradillas, PR 00678-0894

Mailing address

PO Box 894
Quebradillas, PR 00678-0894
Phone (787) 895-4203

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1063665743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 894",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006780894",
            "telephone_number": "787-895-4203",
            "fax_number": "787-895-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 113 KM 13 6",
            "address_2": "BO SAN ANTONIO",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006780894",
            "telephone_number": "787-895-4203",
            "fax_number": "787-895-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO SAN ANTONIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "OMAYRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-895-4203",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quebradillas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.