Mi Laboratorio Clinico Coop

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1169 Issued in PR

Legal business name

MI LABORATORIO CLINICO COOP

Practice address

Carretera 115 KM 0.1
Barrio Asomante
Aguada, PR 00602-3166

Phone

(787) 868-3339

Fax

(787) 868-3339

NPI assigned

Mar 18, 2016

Organization subpart

No

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

Authorized official

Name

Alexis A Henson

Title

Presidente

Phone

(787) 608-4600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MILABCOOP Doing business as

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1154782175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE COLON # 118",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023166",
            "telephone_number": "787-868-3339",
            "fax_number": "787-868-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 115 KM 0.1",
            "address_2": "BARRIO ASOMANTE",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023166",
            "telephone_number": "787-868-3339",
            "fax_number": "787-868-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI LABORATORIO CLINICO COOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-608-4600"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA DEPARTAMENTO DE SALUD",
            "identifier": "1169",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNC",
            "identifier": "14-077",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILABCOOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorianne Yoruanis Mendoza
• Gloria L Mendrell
• Angelica Maria Mercado Mejias
• Karina Michelle Mercado Rivera, OD
• MHH Medical Services LLC
• Sheila M Millayes Nieves
• Mindful Healing Psychotherapy Clinic
• Mindset Therapy Group
• Eliel Miranda, MD
• Naray Miranda, PHARM. D.

• Clinical Medical Laboratory in Aguada, PR
• Providers in Aguada, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.