NPIMap

Organization Active NPI

Laboratorio Clinico del Sureste

  • Clinical Medical Laboratory
  • Yabucoa, PR
National Provider Identifier
1114077955
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
216 Issued in PR
Legal business name
LABORATORIO CLINICO DEL SURESTE
Practice address
34 Calle Luis Munoz Rivera
Yabucoa, PR 00767-3110
Phone
(787) 893-2595
Fax
(787) 893-2716
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yanire Castro-Torres, MT
Title
General Supervisor
Phone
(787) 893-2595

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 216 PR Primary
Clinical Medical Laboratory 291U00000X 569 PR

Addresses

Primary practice location

34 Calle Luis Munoz Rivera
Yabucoa, PR 00767-3110

Mailing address

PO Box 1340
Yabucoa, PR 00767-1340
Phone (787) 893-2595

National Provider Directory

National Provider Directory
Tax ID family
Lab Clinico del Sureste Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

34 Calle Luis Munoz Rivera
Yabucoa, PR 00767
Phone (787) 893-2595

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114077955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1340",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007671340",
            "telephone_number": "787-893-2595",
            "fax_number": "787-893-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 CALLE LUIS MUNOZ RIVERA",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007673110",
            "telephone_number": "787-893-2595",
            "fax_number": "787-893-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO DEL SURESTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTRO-TORRES",
        "authorized_official_first_name": "YANIRE",
        "authorized_official_title_or_position": "GENERAL SUPERVISOR",
        "authorized_official_telephone_number": "787-893-2595",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "216",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yabucoa, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.