Organization Active NPI

S & R Laboratorio Clinico Corp

Doing business as Laboratorio Clinico Canas

  • Clinical Medical Laboratory
  • Ponce, PR
National Provider Identifier
1083774731
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1117 Issued in PR
Legal business name
S & R LABORATORIO CLINICO CORP
Doing business as
Laboratorio Clinico Canas
Practice address
Carretera 132 Kilometro 2.1 Bo. Canas
Plaza Gabriela
Ponce, PR 00728
Phone
(787) 812-3939
Fax
(787) 812-3931
NPI assigned
Dec 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jesus W. Rodriguez, M.D.
Title
Presidente
Phone
(787) 812-3939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1117 PR Primary

Addresses

Primary practice location

Carretera 132 Kilometro 2.1 Bo. Canas
Plaza Gabriela
Ponce, PR 00728

Mailing address

PO Box 664
Mercedita, PR 00715-0664
Phone (787) 812-3939

Other names 1

  • LABORATORIO CLINICO CANAS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070202000158 PR Part B Supplier - Independent Clinical Laboratory 3375545494 Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083774731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 664",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150664",
            "telephone_number": "787-812-3939",
            "fax_number": "787-812-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 132 KILOMETRO 2.1 BO. CANAS",
            "address_2": "PLAZA GABRIELA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-812-3939",
            "fax_number": "787-812-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & R LABORATORIO CLINICO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-812-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO CANAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.