Laboratorio Clinico la Cumbre, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

505 Issued in PR

Legal business name

LABORATORIO CLINICO LA CUMBRE, INC

Practice address

264 Calle Sierra Morena
Urb. la Cumbre
San Juan, PR 00926-5539

Phone

(787) 720-7788

Fax

(787) 287-6495

NPI assigned

Aug 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jose O Alsina, LIC.

Title

President

Phone

(787) 720-7788

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174532568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE PONCE DE LEON",
            "address_2": "#662",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181000",
            "telephone_number": "787-720-7788",
            "fax_number": "787-287-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 CALLE SIERRA MORENA",
            "address_2": "URB. LA CUMBRE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265539",
            "telephone_number": "787-720-7788",
            "fax_number": "787-287-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO LA CUMBRE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALSINA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-720-7788",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LIC."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE PR",
            "identifier": "505",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Familiar Inc.
• Laboratorio Clinico Fernando Montilla, Inc.
• Laboratorio Clinico Ginara Inc
• Laboratorio Clinico Hato Rey Inc.
• Laboratorio Clinico Hermns Hikasobe (Laboratorio Clinico Y Bacteriologico America)
• Laboratorio Clinico la Merced Inc
• Laboratorio Clinico Magdalena Inc.
• Laboratorio Clinico Margarita
• Laboratorio Clinico Martin II, Inc.
• Laboratorio Clinico Mayaguez

• Clinical Medical Laboratory in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.