NPIMap

Organization Active NPI

Laboratorio Clinico Juanadino

  • Clinical Medical Laboratory
  • Juana Diaz, PR
National Provider Identifier
1104130004
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
462 Issued in PR
Legal business name
LABORATORIO CLINICO JUANADINO
Practice address
69 Calle Comercio
Juana Diaz, PR 00795-1600
Phone
(787) 260-3853
Fax
(787) 260-3853
NPI assigned
Aug 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Edward Centeno, MT
Title
Owner
Phone
(787) 260-3853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 462 PR Primary

Addresses

Primary practice location

69 Calle Comercio
Juana Diaz, PR 00795-1600

Mailing address

PO Box 109
Juana Diaz, PR 00795-0109
Phone (787) 260-3853

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1104130004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 109",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007950109",
            "telephone_number": "787-260-3853",
            "fax_number": "787-260-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 CALLE COMERCIO",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007951600",
            "telephone_number": "787-260-3853",
            "fax_number": "787-260-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO JUANADINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "CENTENO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-260-3853",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.