Organization Active NPI

Laboratorio Clinico Santana

  • Clinical Medical Laboratory
  • Guanica, PR
National Provider Identifier
1144336488
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
0651 Issued in PR
Legal business name
LABORATORIO CLINICO SANTANA
Practice address
45 Calle 25 de Julio
Guanica, PR 00653-2713
Phone
(787) 821-2610
Fax
(787) 821-0268
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Miriam Enid Santana, BSMT
Title
Director
Phone
(787) 821-2610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 0651 PR Primary

Addresses

Primary practice location

45 Calle 25 de Julio
Guanica, PR 00653-2713

Mailing address

45 Calle 25 de Julio
Guanica, PR 00653-2713
Phone (787) 821-2610

National Provider Directory

National Provider Directory

Locations

45 Calle 25 de Julio
Guanica, PR 00653
Phone (787) 821-2610

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144336488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CALLE 25 DE JULIO",
            "city": "GUANICA",
            "state": "PR",
            "postal_code": "006532713",
            "telephone_number": "787-821-2610",
            "fax_number": "787-821-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CALLE 25 DE JULIO",
            "city": "GUANICA",
            "state": "PR",
            "postal_code": "006532713",
            "telephone_number": "787-821-2610",
            "fax_number": "787-821-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO SANTANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "ENID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-821-2610",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSMT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "0651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guanica, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.