Organization Active NPI

Sandra L. Amador Perez

  • Clinical Medical Laboratory
  • Lares, PR
National Provider Identifier
1154482909
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SANDRA L. AMADOR PEREZ
Practice address
7 Calle Munoz Rivera
Lares, PR 00669-2421
Phone
(787) 897-2439
Fax
(787) 897-2439
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Sandra Linette AmadorNPI 1366612160
Title
Owner
Phone
(787) 897-2439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

7 Calle Munoz Rivera
Lares, PR 00669-2421

Mailing address

PO Box 743
Lares, PR 00669-0743
Phone (787) 897-2430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091212000085 PR Part B Supplier - Independent Clinical Laboratory 4082718648 Practice locations: Lares, PR

National Provider Directory

National Provider Directory
Tax ID family
Lab Clinico Amador2 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.

Locations

7 Calle Munoz Rivera
Lares, PR 00669
Phone (787) 897-2439

6 Calle Munoz Rivera
Lares, PR 00669
Phone (787) 897-2439

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1154482909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690743",
            "telephone_number": "787-897-2430",
            "fax_number": "787-897-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CALLE MUNOZ RIVERA",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006692421",
            "telephone_number": "787-897-2439",
            "fax_number": "787-897-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA L. AMADOR PEREZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "AMADOR",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LINETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-897-2439"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lares, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.