Organization Active NPI

Laboratorio Clinico Munoz Rivera Inc

  • Clinical Medical Laboratory
  • Guaynabo, PR
National Provider Identifier
1093702771
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
291 Issued in PR
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

Updated by the provider on Apr 7, 2017

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120312000781 PR Part B Supplier - Independent Clinical Laboratory 8224297163 Practice locations: Guaynabo, PR

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.