Active NPI
Laboratorio Clinico Jobos Inc.
- Clinical Medical Laboratory
- Isabela, PR
National Provider Identifier
1154845337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORIO CLINICO JOBOS INC.
- Practice address
- Carr 459,KM11.4
Bo. Jobos
Isabela, PR 00662 - Phone
- (787) 218-4536
- NPI assigned
- Jul 31, 2017
- 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
- Luz Jeannette Roman Velazquez, MT
- Title
- Medical Tecnologyst
- Phone
- (787) 218-4536
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | PR | Primary |
Addresses
Primary practice location
Carr 459,KM11.4
Bo. Jobos
Isabela, PR 00662
Mailing address
259, Calle Aries
Urb. Domenech
Isabela, PR 00662
Phone (787) 218-4536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191209002778 | PR | Part B Supplier - Independent Clinical Laboratory | 6608209481 | Practice locations: Isabela, PR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Laboratory Management Specialist/Technologist
- Isabela, PR
- NPI 1326259839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1501459200000",
"number": "1154845337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259, CALLE ARIES",
"address_2": "URB. DOMENECH",
"city": "ISABELA",
"state": "PR",
"postal_code": "00662",
"telephone_number": "787-218-4536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 459,KM11.4",
"address_2": "BO. JOBOS",
"city": "ISABELA",
"state": "PR",
"postal_code": "00662",
"telephone_number": "787-218-4536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO JOBOS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-31",
"last_updated": "2017-07-31",
"status": "A",
"authorized_official_last_name": "ROMAN VELAZQUEZ",
"authorized_official_first_name": "LUZ",
"authorized_official_middle_name": "JEANNETTE",
"authorized_official_title_or_position": "MEDICAL TECNOLOGYST",
"authorized_official_telephone_number": "787-218-4536",
"authorized_official_credential": "MT"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Isabela, PR
- Lab Clinico Villanueva
- Laboratorio Cardona Lamela, Inc.
- Laboratorio Clinicio Prosalud Isabela PSC
- Laboratorio Clinico Costa Isabela Inc.
- Laboratorio Clinico Irizarry Guasch Inc
- Laboratorio Clinico la Familia
- Laboratorio Clinico la Familia LLC
- Laboratorio Clinico Portal del Sol
- Laboratorio Clinico RQ
- Laboratorio Clinico RQ, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; 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.