NPIMap

Organization Active NPI

MB Clinical Laboratories Corp.

  • Clinical Medical Laboratory
  • Humacao, PR
National Provider Identifier
1174475412
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MB CLINICAL LABORATORIES CORP.
Practice address
Ave. Font Martello 350
Humacao, PR 00791
Phone
(787) 852-3394
Fax
(787) 734-1927
NPI assigned
Feb 10, 2026
Organization subpart
Yes
Parent organization
MB CLINICAL LABORATORIES CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Jose Carlos Flores, MBA, BS, CT
Title
President
Phone
(787) 475-8731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

Ave. Font Martello 350
Humacao, PR 00791

Mailing address

PO Box 476
Juncos, PR 00777-0476
Phone (787) 852-3394

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170321000553 PR Part B Supplier - Independent Clinical Laboratory 4688959398 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Naguabo, PR; Aguas Buenas, PR; Juncos, PR; Humacao, PR

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
MB Clinical Labs Corp10 organizations share this tax ID, including this one
Part of
MB Clinical Labs Corp

Other organizations with this tax ID 9

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": "1770681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1174475412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007770476",
            "telephone_number": "787-852-3394",
            "fax_number": "787-734-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. FONT MARTELLO 350",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-3394",
            "fax_number": "787-734-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB CLINICAL LABORATORIES CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MB CLINICAL LABORATORIES CORP.",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-475-8731",
        "authorized_official_credential": "MBA, BS, CT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.