Active NPI
Edna L Negron Weber Estate
Doing business as Laboratorio Clinico Negron
- Clinical Medical Laboratory
- Sabana Grande, PR
National Provider Identifier
1144224825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 40D667290
- Legal business name
- EDNA L NEGRON WEBER ESTATE
- Doing business as
- Laboratorio Clinico Negron
- Practice address
- Calle Rodriguez Serra 16
Sabana Grande, PR 00637 - Phone
- (787) 873-4710
- Fax
- (787) 873-6976
- NPI assigned
- Jun 9, 2005
- Last updated
- Aug 23, 2022
- 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
- Ms. Julia Leticia Ramos Negron
- Title
- Representative Edna L Negron Weber
- Phone
- (787) 873-6976
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 257 | PR | |
| Clinical Medical Laboratory | 291U00000X | 40D667290 | PR | Primary |
Addresses
Primary practice location
Calle Rodriguez Serra 16
Sabana Grande, PR 00637
Mailing address
PO Box 429
Sabana Grande, PR 00637-0429
Phone (787) 873-4710
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B197 | Other | PR | HEALTH PLAN IMC |
| 800345 | Other | PR | MMM |
| 2136 | Other | PR | IMC |
| 7470003 | Other | PR | HUMANA |
| 20230 | Other | PR | PMC |
Other names 1
- Laboratorio Clinico Negron
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070102000022 | PR | Part B Supplier - Independent Clinical Laboratory | 0446250278 | Practice locations: Sabana Grande, PR |
National Provider Directory
National Provider DirectoryLocations
16 Calle Rodriguez Serra
Ste 2
Sabana Grande, PR 00637
Phone (787) 873-4710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661212800000",
"number": "1144224825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 429",
"city": "SABANA GRANDE",
"state": "PR",
"postal_code": "006370429",
"telephone_number": "787-873-4710",
"fax_number": "787-873-6976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE RODRIGUEZ SERRA 16",
"city": "SABANA GRANDE",
"state": "PR",
"postal_code": "00637",
"telephone_number": "787-873-4710",
"fax_number": "787-873-6976"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDNA L NEGRON WEBER ESTATE",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-09",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A",
"authorized_official_last_name": "RAMOS NEGRON",
"authorized_official_first_name": "JULIA",
"authorized_official_middle_name": "LETICIA",
"authorized_official_title_or_position": "REPRESENTATIVE EDNA L NEGRON WEBER",
"authorized_official_telephone_number": "787-873-6976",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "257",
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "40D667290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN IMC",
"identifier": "B197",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "800345",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMC",
"identifier": "2136",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "7470003",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PMC",
"identifier": "20230",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Laboratorio Clinico Negron",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Laboratorio Clinico Negron",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sabana Grande, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.