Organization Active NPI

Empresas Moreno Reyes Inc.

Doing business as Laboratorio Perla del Plata

  • Clinical Medical Laboratory
  • Comerio, PR
National Provider Identifier
1154864353
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1350 Issued in PR
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Inc2 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.

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.

Verify at the official NPI Registry.