Active NPI
Jose Carlos Flores Santiago
- Clinical Medical Laboratory
- Juncos, PR
National Provider Identifier
1124060843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 599
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060724000223 | PR | Part B Supplier - Independent Clinical Laboratory | 6709899453 | Practice locations: Juncos, PR |
National Provider Directory
National Provider DirectoryNPI 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.