Laboratorio Clinico El Tuque, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

714 Issued in PR

Legal business name

LABORATORIO CLINICO EL TUQUE, INC

Practice address

Parc El Tuque
523 Calle Ramos Antonini Ste 1
Ponce, PR 00728-4811

Phone

(787) 259-1339

Fax

(787) 259-1339

NPI assigned

Nov 1, 2013

Last updated

Nov 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lilly Jadette Torres Lugo

Title

President

Phone

(787) 259-1339

Specialties & licenses 1

Addresses

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, and the practitioner matching its NPPES authorized official.

• Lilly Jadette Torres

  • Clinical Medical Laboratory
  • Ponce, PR
  • NPI 1790951085
  NPD

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1073942959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PARC EL TUQUE",
            "address_2": "523 CALLE RAMOS ANTONINI STE 1",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007284811",
            "telephone_number": "787-259-1339",
            "fax_number": "787-259-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARC EL TUQUE",
            "address_2": "523 CALLE RAMOS ANTONINI STE 1",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007284811",
            "telephone_number": "787-259-1339",
            "fax_number": "787-259-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO EL TUQUE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "TORRES LUGO",
        "authorized_official_first_name": "LILLY",
        "authorized_official_middle_name": "JADETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-259-1339"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Ponce, PR
• Providers in Ponce, 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 Nov 1, 2013; 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.