NPIMap

Organization Active NPI

Laboratorio Clinico Irizarry Guasch Inc

  • Clinical Medical Laboratory
  • Sabana Grande, PR
National Provider Identifier
1154078160
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORIO CLINICO IRIZARRY GUASCH INC
Practice address
40 Ave Vicente Quilinchini
Sabana Grande, PR 00637-1903
Phone
(787) 899-7223
Fax
(787) 899-1861
NPI assigned
Mar 9, 2022
Last updated
Mar 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Mrs. Nilsa I Irizarry Guasch
Title
Secretaria
Phone
(787) 899-7223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

40 Ave Vicente Quilinchini
Sabana Grande, PR 00637-1903

Mailing address

PO Box 593
Lajas, PR 00667-0593
Phone (787) 899-7223

Other names 2

  • Laboratorio Clinico Irizarry Guasch Inc Former legal business name
  • Corporacion Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070906000500 PR Part B Supplier - Independent Clinical Laboratory 3476646597 23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mayaguez, PR; Ponce, PR; Sabana Grande, PR; Salinas, PR; San Sebastian, PR; Santa Isabel, PR; Yauco, PR; San German, PR…

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Irizarry Guasch26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

40 Ave Vicente Quilinchini
Sabana Grande, PR 00637
Phone (787) 899-7223

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1154078160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 593",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006670593",
            "telephone_number": "787-899-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AVE VICENTE QUILINCHINI",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006371903",
            "telephone_number": "787-899-7223",
            "fax_number": "787-899-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO IRIZARRY GUASCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY GUASCH",
        "authorized_official_first_name": "NILSA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "SECRETARIA",
        "authorized_official_telephone_number": "787-899-7223",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Irizarry Guasch Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Corporacion",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 9, 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.