NPIMap

Organization Active NPI

Carmen Rivera Marcano

Doing business as Laboratorio Clinico Licer

  • Clinical Medical Laboratory
  • Caguas, PR
National Provider Identifier
1104251305
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CARMEN RIVERA MARCANO
Doing business as
Laboratorio Clinico Licer
Practice address
F-4 Ave Degetau Bonneville Terrace
Caguas, PR 00725-0000
Phone
(787) 743-0166
Fax
(787) 715-0170
NPI assigned
Sep 6, 2013
Last updated
Sep 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Mr. Manuel Alberto Guevara
Title
Administrator
Phone
(787) 599-0526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

F-4 Ave Degetau Bonneville Terrace
Caguas, PR 00725-0000

Mailing address

120 Ave. Las Sierras
65
San Juan, PR 00926-0000
Phone (787) 743-0166

Other names 1

  • Laboratorio Clinico Licer Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carmen Cermira Rivera Marcano4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1104251305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 AVE. LAS SIERRAS",
            "address_2": "65",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009260000",
            "telephone_number": "787-743-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "F-4 AVE DEGETAU BONNEVILLE TERRACE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007250000",
            "telephone_number": "787-743-0166",
            "fax_number": "787-715-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN RIVERA MARCANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-599-0526",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Licer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.