Organization Active NPI

Laboratorio Clinico Sharem

  • Clinical Medical Laboratory
  • Caguas, PR
National Provider Identifier
1104911981
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
997 Issued in PR
Legal business name
LABORATORIO CLINICO SHAREM
Practice address
Reg 295 del Rio Shopping
Valle Tolima
Caguas, PR 00727-2337
Phone
(787) 703-1275
Fax
(787) 745-1370
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Emma Rodriguez, M.T.
Title
Administracion
Phone
(787) 312-7059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 997 PR Primary

Addresses

Primary practice location

Reg 295 del Rio Shopping
Valle Tolima
Caguas, PR 00727-2337

Mailing address

PO Box 695
Caguas, PR 00726-0695
Phone (787) 703-1275

Other names 1

  • Laboratorio Clinico Sharem Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130325000162 PR Part B Supplier - Independent Clinical Laboratory 3072758937 Practice locations: Caguas, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1104911981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 695",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007260695",
            "telephone_number": "787-703-1275",
            "fax_number": "787-745-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REG 295 DEL RIO SHOPPING",
            "address_2": "VALLE TOLIMA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007272337",
            "telephone_number": "787-703-1275",
            "fax_number": "787-745-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO SHAREM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "ADMINISTRACION",
        "authorized_official_telephone_number": "787-312-7059",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Sharem",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 14, 2012; 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.