Active NPI
Laboratorio Clinico Miramar Inc
- Clinical Medical Laboratory
- San Juan, PR
National Provider Identifier
1114092566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 672
- Legal business name
- LABORATORIO CLINICO MIRAMAR INC
- Practice address
- Ponce de Leon Ave 670
Caribbean Towers BLDG Ste 5a Miramar
San Juan, PR 00907 - Phone
- (787) 722-8144
- Fax
- (787) 722-8144
- NPI assigned
- Nov 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aixa Llorens Becerra, MT
- Title
- Owner
- Phone
- (787) 722-8144
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 672 | PR | Primary |
Addresses
Primary practice location
Ponce de Leon Ave 670
Caribbean Towers BLDG Ste 5a Miramar
San Juan, PR 00907
Mailing address
Ponce de Leon Ave 670
Caribbean Towers BLDG Ste 5a Miramar
San Juan, PR 00907
Phone (787) 722-8144
National Provider Directory
National Provider DirectoryLocations
670 Ave Ponce de Leon
Ste 5A
San Juan, PR 00907
Phone (787) 722-8144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319760000000",
"number": "1114092566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PONCE DE LEON AVE 670",
"address_2": "CARIBBEAN TOWERS BLDG STE 5A MIRAMAR",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-722-8144",
"fax_number": "787-722-8144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PONCE DE LEON AVE 670",
"address_2": "CARIBBEAN TOWERS BLDG STE 5A MIRAMAR",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-722-8144",
"fax_number": "787-722-8144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO MIRAMAR INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2011-10-28",
"status": "A",
"authorized_official_last_name": "LLORENS BECERRA",
"authorized_official_first_name": "AIXA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-722-8144",
"authorized_official_credential": "MT"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Laboratorio Clinico Margarita
- Laboratorio Clinico Martin II, Inc.
- Laboratorio Clinico Mayaguez
- Laboratorio Clinico Metabolico Corp.
- Laboratorio Clinico Michelsan Inc
- Laboratorio Clinico Montehiedra Inc.
- Laboratorio Clinico Noy Inc
- Laboratorio Clinico Profesional San Miguel
- Laboratorio Clinico Puerto Nuevo
- Laboratorio Clinico Puerto Rico Holding, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.