Organization Active NPI

Jose Carlos Flores Santiago

  • Clinical Medical Laboratory
  • Juncos, PR
National Provider Identifier
1124060843
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
599 Issued in PR
Legal business name
JOSE CARLOS FLORES SANTIAGO
Practice address
Carr 189 KM 12.7
Centro Comercial Villa Ana
Juncos, PR 00777
Phone
(787) 734-8126
Fax
(787) 734-1927
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Jose Carlos Flores, MBA, BS, CT
Title
President
Phone
(787) 475-8731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 599 PR Primary

Addresses

Primary practice location

Carr 189 KM 12.7
Centro Comercial Villa Ana
Juncos, PR 00777

Mailing address

PO Box 476
Juncos, PR 00777-0476
Phone (787) 734-8126

Other names 1

  • Laboratorio Clinico Villa Ana Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060724000223 PR Part B Supplier - Independent Clinical Laboratory 6709899453 Practice locations: Juncos, 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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1124060843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007770476",
            "telephone_number": "787-734-8126",
            "fax_number": "787-734-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 189 KM 12.7",
            "address_2": "CENTRO COMERCIAL VILLA ANA",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "787-734-8126",
            "fax_number": "787-734-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE CARLOS FLORES SANTIAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-475-8731",
        "authorized_official_credential": "MBA, BS, CT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Villa Ana",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laboratorio Clinico Villa Ana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Juncos, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.