Rosa M. Heredia Castillo

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

768 Issued in PR

Legal business name

ROSA M. HEREDIA CASTILLO

Practice address

260 Ave de la Constitucion
Suite 101
San Juan, PR 00901-2298

Phone

(787) 722-0341

Fax

(787) 722-0341

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Rosa M Heredia, MT

Title

Director

Phone

(787) 722-0341

Specialties & licenses 1

Addresses

Other names 1

• LABORATORIO CLINICO LECORD Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1144384256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367331",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009367331",
            "telephone_number": "787-722-0341",
            "fax_number": "787-722-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 AVE DE LA CONSTITUCION",
            "address_2": "SUITE 101",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012298",
            "telephone_number": "787-722-0341",
            "fax_number": "787-722-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA M. HEREDIA CASTILLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "HEREDIA",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-722-0341",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO LECORD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Ann Rosa Bouza
• Wilmarie Rosa Calzada, MSW
• Klaraliz Rosa Cartaya, MD
• Karimar Rosa Diaz
• Guillermo Rosa Guzman Sr., BSN
• Zuleyka Rosa Malave
• Coralys Aurora Rosa Marcano, MS, SLP
• Onelia M Rosa Perez, CPL
• Zakira Liss Rosa Quinones, MRC
• Everlidis Rosa Santiago

• Clinical Medical Laboratory in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.