Organization Active NPI

Laboratorio Cima Camino Nuevo, Inc.

  • Clinical Medical Laboratory
  • Yabucoa, PR
National Provider Identifier
1174025837
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORIO CIMA CAMINO NUEVO, INC.
Practice address
Carr 901 KM 3 HM 6
Bo Camino Nuevo
Yabucoa, PR 00767-0243
Phone
(787) 266-5544
Fax
(787) 893-1839
NPI assigned
Mar 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Authorized official

Name
Mr. Juan M Cintron Maldonado
Title
Presidente
Phone
(787) 893-5544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Carr 901 KM 3 HM 6
Bo Camino Nuevo
Yabucoa, PR 00767-0243

Mailing address

PO Box 243
Yabucoa, PR 00767-0243
Phone (787) 266-5544

Other names 1

  • LABORATORIO CIMA CAMINO NUEVO, INC. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190916003188 PR Part B Supplier - Independent Clinical Laboratory 3971832981 Practice locations: Yabucoa, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1174025837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 243",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007670243",
            "telephone_number": "787-266-5544",
            "fax_number": "787-893-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 901 KM 3 HM 6",
            "address_2": "BO CAMINO NUEVO",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007670243",
            "telephone_number": "787-266-5544",
            "fax_number": "787-893-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CIMA CAMINO NUEVO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "CINTRON MALDONADO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-893-5544",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CIMA CAMINO NUEVO, INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yabucoa, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.