Active NPI
Lab Caribe Ponce Inc
- Clinical Medical Laboratory
- Ponce, PR
National Provider Identifier
1154327401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 89
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100902000154 | PR | Part B Supplier - Independent Clinical Laboratory | 3173647872 | Practice locations: Ponce, PR |
National Provider Directory
National Provider DirectoryLocations
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
- Kyungmin Ko, MS, MD
- Samantha K Kos
- KRS Psychologys Wellness Group LLC
- La Clinica de Rinosinusitis LLC
- La Fe Prosthetic and Medical Devices, LLC
- Lab Clinico Y Referencia Escuela Medicina Ponce
- Laboratorio Blasor Inc.
- Laboratorio Clinico Amundaray, Inc
- Laboratorio Clinico Analitico Inc
- Laboratorio Clinico Clausells
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.