Organization Active NPI

Borinquen Laboratory Services

  • Clinical Medical Laboratory
  • San Juan, PR
National Provider Identifier
1154398113
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1061 Issued in PR
Legal business name
BORINQUEN LABORATORY SERVICES
Doing business as
LABORATORIO CLINICO PASEOS
Practice address
349 Felisa Rincon de Gautier Paseo Las Cumbres
Shopping Center Suite 105
San Juan, PR 00926
Phone
(787) 999-2797
Fax
(787) 999-2798
NPI assigned
Mar 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Lina I Garcia, MT/ASCP
Title
Owner
Phone
(787) 999-2797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1061 PR Primary

Addresses

Primary practice location

349 Felisa Rincon de Gautier Paseo Las Cumbres
Shopping Center Suite 105
San Juan, PR 00926

Mailing address

PO Box 14334
San Juan, PR 00916-4334
Phone (787) 999-2797

Other names 1

  • LABORATORIO CLINICO PASEOS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041005000928 PR Part B Supplier - Independent Clinical Laboratory 8224097340 1 other NPI on this enrollment
Practice locations: San Juan, PR

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Lab Clinico Borinquen2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1154398113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14334",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009164334",
            "telephone_number": "787-999-2797",
            "fax_number": "787-999-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 FELISA RINCON DE GAUTIER PASEO LAS CUMBRES",
            "address_2": "SHOPPING CENTER SUITE 105",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-999-2797",
            "fax_number": "787-999-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORINQUEN LABORATORY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "LINA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-999-2797",
        "authorized_official_credential": "MT/ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO PASEOS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.