Organization Active NPI

Laboratorio Clinico Borinquen, Inc

  • Clinical Medical Laboratory
  • Caguas, PR
National Provider Identifier
1164402038
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
277 Issued in PR
Legal business name
LABORATORIO CLINICO BORINQUEN, INC
Practice address
2 Calle Baldorioty
Caguas, PR 00725-2606
Phone
(787) 743-0330
Fax
(787) 744-2588
NPI assigned
Jan 18, 2006
Last updated
Mar 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
Karen D Whitlock
Title
Director
Phone
(787) 743-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 277 PR Primary

Addresses

Primary practice location

2 Calle Baldorioty
Caguas, PR 00725-2606

Mailing address

2 Calle Baldorioty
Caguas, PR 00725-2606
Phone (787) 743-0330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040820000337 PR Part B Supplier - Independent Clinical Laboratory 0446224067 Practice locations: Ponce, PR; Guaynabo, PR; Gurabo, PR; Hato Rey, PR; Humacao, PR; Juncos, PR; Manati, PR; San Juan, PR…

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Clinico Borinquen-Avenida Munoz Marin6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

50 Ave Los Filtros
#D
Bayamon, PR 00959
Phone (787) 779-0330

6 Calle Intendente Ramirez
Caguas, PR 00725
Phone (787) 743-3256

A16 Ave Degetau
Caguas, PR 00725
Phone (787) 743-2373

V42 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 704-0100

10 Ave Laguna
Ste 208
Carolina, PR 00979
Phone (787) 395-7769

41 Calle Vicente Munoz Barrios
Cidra, PR 00739
Phone (787) 739-6550

1300 Ave Luis Vigoreaux
GDN HLS PLZ Local 26
Guaynabo, PR 00966
Phone (787) 706-0535

B50 Calle Elliot Velez
Manati, PR 00674
Phone (787) 638-0672

1135 Ave 65 Infanteria
#10
San Juan, PR 00924
Phone (787) 750-7923

1427 Ave Fernandez Juncos
#4
San Juan, PR 00909
Phone (787) 728-1190

1954 Calle McLeary
San Juan, PR 00911
Phone (787) 728-5202

310 Ave Lomas Verdes
#838
San Juan, PR 00927
Phone (787) 708-0342

400 Ave Fd Roosevelt
Ste 107
San Juan, PR 00918
Phone (787) 250-0165

400 Ave Fd Roosevelt
Ste 201
San Juan, PR 00918
Phone (787) 250-0165

9615 Ave Los Romeros
Lot 4
San Juan, PR 00926
Phone (787) 708-8400

3 Calle Munoz Rivera S
San Lorenzo, PR 00754

75 Calle Krug
Santurce, PR 00911
Phone (787) 344-3992

200 Carr 181
Ste 28
Trujillo Alto, PR 00976
Phone (787) 748-0330

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1164402038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CALLE BALDORIOTY",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252606",
            "telephone_number": "787-743-0330",
            "fax_number": "787-744-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE BALDORIOTY",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252606",
            "telephone_number": "787-743-0330",
            "fax_number": "787-744-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO BORINQUEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-743-0330"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.