Organization Active NPI

Lab Caribe Ponce Inc

  • Clinical Medical Laboratory
  • Ponce, PR
National Provider Identifier
1154327401
Registry record updated Aug 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
89 Issued in PR
Legal business name
LAB CARIBE PONCE INC
Practice address
Calle Ferrocarril # 617
Office 101
Ponce, PR 00717-1195
Phone
(787) 842-1116
Fax
(787) 842-1116
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2014

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

Authorized official

Name
Miss Yamilet Sampoll Ramirez
Title
Owner
Phone
(787) 842-1116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 89 PR Primary

Addresses

Primary practice location

Calle Ferrocarril # 617
Office 101
Ponce, PR 00717-1195

Mailing address

1575 Ave Munoz Rivera
PMB 133
Ponce, PR 00717-0211
Phone (787) 842-1116

Other names 1

  • LABORATORIO CLINICO DEL CARIBE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100902000154 PR Part B Supplier - Independent Clinical Laboratory 3173647872 Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

617 Calle Ferrocarril
Ste 101
Ponce, PR 00717
Phone (787) 842-1116

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408147200000",
    "number": "1154327401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 AVE MUNOZ RIVERA",
            "address_2": "PMB 133",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170211",
            "telephone_number": "787-842-1116",
            "fax_number": "787-842-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE FERROCARRIL # 617",
            "address_2": "OFFICE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171195",
            "telephone_number": "787-842-1116",
            "fax_number": "787-842-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB CARIBE PONCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2014-08-16",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "YAMILET",
        "authorized_official_middle_name": "SAMPOLL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-842-1116",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "89",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO DEL CARIBE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2014; 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.