Active NPI
Empresas Moreno Reyes Inc.
Doing business as Laboratorio Perla del Plata
- Clinical Medical Laboratory
- Comerio, PR
National Provider Identifier
1154864353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 1350
- Legal business name
- EMPRESAS MORENO REYES INC.
- Doing business as
- Laboratorio Perla del Plata
- Practice address
- Carr 156 KM 35.4
Bo Dona Elena Sector la Gallera
Comerio, PR 00782 - Phone
- (787) 875-3932
- Fax
- (787) 875-3965
- NPI assigned
- Nov 21, 2016
- Last updated
- Dec 27, 2016
- 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
- Mrs. Ana Rosa Nieves, MT
- Title
- Supervisor
- Phone
- (787) 875-3932
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 1350 | PR | Primary |
Addresses
Primary practice location
Carr 156 KM 35.4
Bo Dona Elena Sector la Gallera
Comerio, PR 00782
Mailing address
RR 11 Box 5470
Bo Nuevo
Bayamon, PR 00956
Phone (787) 875-3932
Other names 1
- Laboratorio Perla del Plata
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170621001095 | PR | Part B Supplier - Independent Clinical Laboratory | 5294003935 | Practice locations: Comerio, PR |
National Provider Directory
National Provider Directory- Tax ID family
- Empresas Moreno Reyes Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Laboratorio Perla Del Plata
- Clinical Medical Laboratory
- Comerio, PR
- NPI 1255888012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482796800000",
"number": "1154864353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 11 BOX 5470",
"address_2": "BO NUEVO",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-875-3932",
"fax_number": "787-875-3965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 156 KM 35.4",
"address_2": "BO DONA ELENA SECTOR LA GALLERA",
"city": "COMERIO",
"state": "PR",
"postal_code": "00782",
"telephone_number": "787-875-3932",
"fax_number": "787-875-3965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPRESAS MORENO REYES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-21",
"last_updated": "2016-12-27",
"status": "A",
"authorized_official_last_name": "NIEVES",
"authorized_official_first_name": "ANA",
"authorized_official_middle_name": "ROSA",
"authorized_official_title_or_position": "SUPERVISOR",
"authorized_official_telephone_number": "787-875-3932",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MT"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "1350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laboratorio Perla del Plata",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Comerio, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.