NPIMap

Organization Active NPI

Laboratorio Clinico Boqueron Inc,

  • Clinical Medical Laboratory
  • Boqueron, PR
National Provider Identifier
1063842904
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
803 Issued in PR
Legal business name
LABORATORIO CLINICO BOQUERON INC,
Practice address
63 Calle Luis Munoz Rivera
Boqueron, PR 00622
Phone
(787) 254-2550
Fax
(787) 254-2550
NPI assigned
Nov 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Maria De Los a Ocasio, MTNPI 1114196334
Title
President
Phone
(787) 254-2550

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 803 PR Primary

Addresses

Primary practice location

63 Calle Luis Munoz Rivera
Boqueron, PR 00622

Mailing address

PO Box 323
Boqueron, PR 00622-0323
Phone (787) 254-2550

Other identifiers 1

IdentifierTypeStateIssuer
H0831AOtherPRMEDICARE PTAN

National Provider Directory

National Provider Directory
Tax ID family
Lab Clinico Boqueron2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1063842904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 323",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "006220323",
            "telephone_number": "787-254-2550",
            "fax_number": "787-254-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 CALLE LUIS MUNOZ RIVERA",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "00622",
            "telephone_number": "787-254-2550",
            "fax_number": "787-254-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO BOQUERON INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "OCASIO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "DE LOS A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-254-2550",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H0831A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boqueron, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.