Organization Active NPI

Laboratorio Clinico Miramar Inc

  • Clinical Medical Laboratory
  • San Juan, PR
National Provider Identifier
1114092566
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
672 Issued in PR
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

Updated by the provider on Oct 28, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.