Organization Active NPI

Edna L Negron Weber Estate

Doing business as Laboratorio Clinico Negron

  • Clinical Medical Laboratory
  • Sabana Grande, PR
National Provider Identifier
1144224825
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
40D667290 Issued in PR
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
B197OtherPRHEALTH PLAN IMC
800345OtherPRMMM
2136OtherPRIMC
7470003OtherPRHUMANA
20230OtherPRPMC

Other names 1

  • Laboratorio Clinico Negron Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070102000022 PR Part B Supplier - Independent Clinical Laboratory 0446250278 Practice locations: Sabana Grande, PR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.