NPIMap

Organization Active NPI

Laboratorio Clinico Profesional Emanuel Inc

  • Clinical Medical Laboratory
  • Juana Diaz, PR
National Provider Identifier
1124095286
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
907 Issued in PR
Legal business name
LABORATORIO CLINICO PROFESIONAL EMANUEL INC
Practice address
Carr. 149 KM 63.9 Bo. Guayabal Marginal #191
Juana Diaz, PR 00795
Phone
(787) 212-0119
Fax
(787) 837-8041
NPI assigned
Mar 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Mr. Gregorio Torres, MT
Title
President
Phone
(787) 212-0119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 907 PR Primary

Addresses

Primary practice location

Carr. 149 KM 63.9 Bo. Guayabal Marginal #191
Juana Diaz, PR 00795

Mailing address

Mansion del Sur
64 Ceiba Street
Coto Laurel, PR 00780-2086
Phone (787) 260-5504

Other practice location 1

Carr PR 14 Km 18.3 Bo Tijeras
Juana Diaz, PR 00795
Phone (780) 580-0080

Other practice location 2

38 Munoz Rivera
Suite 5
Santa Isabel, PR 00758-2658
Phone (787) 301-1731

Other practice location 3

Carr #14 Km 11.4 Bo. Jacaguas
Juana Diaz, PR 00795
Phone (787) 680-0883

Other names 1

  • Laboratorio Clinico Profesional Emanuel-Guayabal Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060823000414 PR Part B Supplier - Independent Clinical Laboratory 3779586268 2 other NPIs on this enrollment
Practice locations: Juana Diaz, PR

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Clinico Profesional Emanuel-Jacaguas3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1124095286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MANSION DEL SUR",
            "address_2": "64 CEIBA STREET",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802086",
            "telephone_number": "787-260-5504",
            "fax_number": "787-837-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 149 KM 63.9 BO. GUAYABAL MARGINAL #191",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-212-0119",
            "fax_number": "787-837-8041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr PR 14 Km 18.3 Bo Tijeras",
            "address_purpose": "LOCATION",
            "city": "Juana Diaz",
            "state": "PR",
            "postal_code": "00795",
            "country_code": "US",
            "telephone_number": "780-580-0080",
            "fax_number": "787-580-0081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38 MUNOZ RIVERA",
            "address_2": "SUITE 5",
            "address_purpose": "LOCATION",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007582658",
            "country_code": "US",
            "telephone_number": "787-301-1731",
            "fax_number": "787-301-1733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Carr #14 Km 11.4 Bo. Jacaguas",
            "address_purpose": "LOCATION",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "country_code": "US",
            "telephone_number": "787-680-0883",
            "fax_number": "787-680-0884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LABORATORIO CLINICO PROFESIONAL EMANUEL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "GREGORIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-212-0119",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Profesional Emanuel-Guayabal",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laboratorio Clinico Profesional Emanuel-Guayabal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Juana Diaz, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.