Organization Active NPI

Caribe Lab LLC

  • Clinical Medical Laboratory
  • Bayamon, PR
National Provider Identifier
1144069824
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CARIBE LAB LLC
Practice address
Medical Ophthalmic Plaza
Suite 103
Bayamon, PR 00959
Phone
(787) 798-3176
Fax
(787) 288-0774
NPI assigned
May 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Mrs. Briseida Miranda, MTNPI 1386492270
Title
Administrador
Phone
(787) 798-3176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Medical Ophthalmic Plaza
Suite 103
Bayamon, PR 00959

Mailing address

114 Calle Pelicano
Toa Baja, PR 00949-3490
Phone (787) 798-3176

Other names 2

  • LABORATORIO CLINICO CARIBE Doing business as
  • LABORATORIO CLINICO LUGO Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240723000318 PR Part B Supplier - Independent Clinical Laboratory 4587100938 Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1144069824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CALLE PELICANO",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493490",
            "telephone_number": "787-798-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL OPHTHALMIC PLAZA",
            "address_2": "SUITE 103",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-798-3176",
            "fax_number": "787-288-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBE LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "BRISEIDA",
        "authorized_official_title_or_position": "ADMINISTRADOR",
        "authorized_official_telephone_number": "787-798-3176",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO CARIBE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LABORATORIO CLINICO LUGO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.