Laboratorio Clinico Caguas Norte

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

78 Issued in PR

Legal business name

LABORATORIO CLINICO CAGUAS NORTE

Practice address

Urb Paradis Calle Lopez Flores Esq Munoz Rivera
Suite 3
Caguas, PR 00725

Phone

(787) 746-1665

Fax

(787) 746-1665

NPI assigned

Aug 26, 2008

Organization subpart

No

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

Authorized official

Name

Angelo Mendez Sr.

Title

Owner

Phone

(787) 746-1665

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angelo Mendez Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

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

• Mayra Ivette Perez, M.T

  • Other Specialist/Technologist
  • Caguas, PR
  • NPI 1417113911
  NPD

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1073760641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8323",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-746-1665",
            "fax_number": "787-746-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB PARADIS CALLE LOPEZ FLORES ESQ MUNOZ RIVERA",
            "address_2": "SUITE 3",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-746-1665",
            "fax_number": "787-746-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO CAGUAS NORTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-746-1665",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "78",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "40D0658327",
            "identifier": "CLIA ID",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angelo Mendez",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Laboratorio Clinico Borinquen, Inc
• Laboratorio Clinico Caguas Centro Inc
• Laboratorio Clinico Henriquez
• Laboratorio Clinico P Centro Inc
• Laboratorio Clinico Paseo del Rio
• Laboratorio Clinico Paseo del Rio, LLC
• Laboratorio Clinico Sharem

• Clinical Medical Laboratory in Caguas, PR
• Providers in Caguas, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.

Verify at the official NPI Registry.