Active NPI
Laboratorio Clinico Almirante Norte Corp
- Clinical Medical Laboratory
- Vega Baja, PR
National Provider Identifier
1063679686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORIO CLINICO ALMIRANTE NORTE CORP
- Practice address
- Carr 160 Bo Almirante Norte
KM 4.5
Vega Baja, PR 00693 - Phone
- (787) 645-8885
- NPI assigned
- May 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ediberto Colon
- Title
- Presidente
- Phone
- (787) 654-8885
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | PR | Primary |
Addresses
Primary practice location
Carr 160 Bo Almirante Norte
KM 4.5
Vega Baja, PR 00693
Mailing address
141 Palmas de Cerro Gordo
Vega Alta, PR 00692
Phone (787) 654-8885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090420000291 | PR | Part B Supplier - Independent Clinical Laboratory | 1153478664 |
1 other NPI on this enrollment Practice locations: Barceloneta, PR; Vega Baja, PR |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- Barceloneta, PR
- NPI 1972072270
O20090420000291
National Provider Directory
National Provider Directory- Tax ID family
- Lab Clin Almirante Norte
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Barceloneta, PR
- NPI 1972072270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397174400000",
"number": "1063679686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 PALMAS DE CERRO GORDO",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "787-654-8885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 160 BO ALMIRANTE NORTE",
"address_2": "KM 4.5",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "00693",
"telephone_number": "787-645-8885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO ALMIRANTE NORTE CORP",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-21",
"last_updated": "2014-04-11",
"status": "A",
"authorized_official_last_name": "COLON",
"authorized_official_first_name": "EDIBERTO",
"authorized_official_title_or_position": "PRESIDENTE",
"authorized_official_telephone_number": "787-654-8885",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vega Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.