Organization Active NPI

Laboratorio Beiro Inc

  • Clinical Medical Laboratory
  • Guayama, PR
National Provider Identifier
1124194527
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
164 Issued in PR
Legal business name
LABORATORIO BEIRO INC
Practice address
Calle Palmer #22 Sur
Guayama, PR 00784-2878
Phone
(787) 864-1866
Fax
(787) 864-8654
NPI assigned
Nov 28, 2006
Last updated
Sep 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Authorized official

Name
Lorenzo A Beiro
Title
Presidente
Phone
(787) 864-1866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 164 PR Primary

Addresses

Primary practice location

Calle Palmer #22 Sur
Guayama, PR 00784-2878

Mailing address

PO Box 2878
Guayama, PR 00785-2878
Phone (787) 864-1866

Other identifiers 1

IdentifierTypeStateIssuer
0031222MedicaidPR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070207000018 PR Part B Supplier - Independent Clinical Laboratory 2062414915 Practice locations: Guayama, 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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1124194527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2878",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007852878",
            "telephone_number": "787-864-1866",
            "fax_number": "787-864-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PALMER #22 SUR",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007842878",
            "telephone_number": "787-864-1866",
            "fax_number": "787-864-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO BEIRO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "BEIRO",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-864-1866"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031222",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.