Active NPI
Laboratorio Clinico Munoz Rivera Inc
- Clinical Medical Laboratory
- Guaynabo, PR
National Provider Identifier
1093702771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 291
- Legal business name
- LABORATORIO CLINICO MUNOZ RIVERA INC
- Practice address
- # 51 Esmeralda Ave,
Guaynabo, PR 00969-0000 - Phone
- (787) 720-5462
- Fax
- (787) 720-0745
- NPI assigned
- Sep 29, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lourdes Perez
- Title
- Owner
- Phone
- (787) 720-5462
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 291 | PR | Primary |
Addresses
Primary practice location
# 51 Esmeralda Ave,
Guaynabo, PR 00969-0000
Mailing address
# 51 Esmeralda Avenue,
Urbanizacion Munoz Rivera
Guaynabo, PR 00969
Phone (787) 720-5462
Other names 1
- Laboratorio Clinico Munoz Rivera
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120312000781 | PR | Part B Supplier - Independent Clinical Laboratory | 8224297163 | Practice locations: Guaynabo, PR |
National Provider Directory
National Provider DirectoryLocations
51 Ave Esmeralda
Guaynabo, PR 00969
Phone (787) 720-5462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491523200000",
"number": "1093702771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "# 51 ESMERALDA AVENUE,",
"address_2": "URBANIZACION MUNOZ RIVERA",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-720-5462",
"fax_number": "787-720-0745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "# 51 ESMERALDA AVE,",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009690000",
"telephone_number": "787-720-5462",
"fax_number": "787-720-0745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO MUNOZ RIVERA INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-29",
"last_updated": "2017-04-07",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "LOURDES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-720-5462",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laboratorio Clinico Munoz Rivera",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Guaynabo, PR
- Laboratorio Clinico Gordo Inc.
- Laboratorio Clinico Guaynabo
- Laboratorio Clinico Jomyr III, LLC
- Laboratorio Clinico Lagos de Plata 2
- Laboratorio Clinico Las Colinas Inc.
- Laboratorio Clinico Plaza Caparra
- Laboratorio Clinico Plaza Inc
- Laboratorio Clinico Plaza Real Inc
- Laboratorio Clinico Principal San Fernando, Inc
- Laboratorio Clinico Tintillo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.