NPIMap

Organization Active NPI

MB Clinical Laboratories East Corp.

  • Clinical Medical Laboratory
  • Gurabo, PR
National Provider Identifier
1083757694
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MB CLINICAL LABORATORIES EAST CORP.
Practice address
Calle Santiago Num. 55
Gurabo, PR 00778
Phone
(787) 737-6042
Fax
(787) 737-6042
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Authorized official

Name
Jose C Flores
Title
President
Phone
(787) 475-8731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Calle Santiago Num. 55
Gurabo, PR 00778

Mailing address

PO Box 476
Juncos, PR 00777-0476
Phone (787) 475-8731

Other practice location 1

55N Calle Santiago
Gurabo, PR 00778
Phone (787) 737-6042

Other names 2

  • Laboratorio Clinico Gurabo Doing business as
  • Laboratorio Clinico Villa Ana Gurabo Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MB Clinical Laboratories East Corp7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1083757694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007770476",
            "telephone_number": "787-475-8731",
            "fax_number": "787-734-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SANTIAGO NUM. 55",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-737-6042",
            "fax_number": "787-737-6042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55N Calle Santiago",
            "address_purpose": "LOCATION",
            "city": "Gurabo",
            "state": "PR",
            "postal_code": "00778",
            "country_code": "US",
            "telephone_number": "787-737-6042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MB CLINICAL LABORATORIES EAST CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-475-8731"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Gurabo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laboratorio Clinico Villa Ana Gurabo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gurabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.