Johanny Ortiz Lopez PSC
Organization Active NPI Clinical Medical Laboratory · Salinas, PR
NPI 1154905693 · NPPES record last updated Dec 19, 2024
Key facts
- NPI
- 1154905693
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- JOHANNY ORTIZ LOPEZ PSC
- Practice address
- PR 3 KM 158.5 Urb. Minima la Carmen
229 Suite B
Salinas, PR 00751-2319 - Phone
- (787) 824-4333
- Fax
- (787) 824-4333
- NPI assigned
- May 11, 2021
- Organization subpart
- No
Authorized official
- Name
- William A Martinez Diaz
- Title
- President
- Phone
- (787) 602-0252
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220223001906 | PR | Part B Supplier - Independent Clinical Laboratory | 6204220940 | Practice locations: Salinas, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
PR 3 KM 158.5 Urb. Minima la Carmen
229 Suite B
Salinas, PR 00751-2319
Mailing address
PR 3 KM 158.5 Urb. Minima la Carmen
229 Suite B
Salinas, PR 00751-2319
Phone (787) 824-4333
Other providers in Salinas, PR
- Horizon Medical Health Group Inc
- Horizon Pharmacy
- HRV Medical PSC
- Improving Living Services Puerto Rico LLC
- Integralmed LLC
- Jorlis Medical Center P.S.C.
- Jorlis Medical Service PSC
- Juan J Frias
- Evangelista Del Carmen Jusino Lopez
- JZ Life Care EMS Corp
All providers in Salinas, PR · Clinical Medical Laboratory in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.