Organization Active NPI

Laboratorio Clinico Lorimar

  • Clinical Medical Laboratory
  • Aguadilla, PR
National Provider Identifier
1174738736
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
901 Issued in PR
Legal business name
LABORATORIO CLINICO LORIMAR
Doing business as
JORGE L MENDEZ COLON
Practice address
31 Calle Progreso
Aguadilla, PR 00603-5016
Phone
(787) 882-7679
Fax
(787) 882-7679
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Dr. Jorge L Mendez, M.D
Title
Owner
Phone
(787) 877-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 901 PR Primary

Addresses

Primary practice location

31 Calle Progreso
Aguadilla, PR 00603-5016

Mailing address

PO Box 388
Moca, PR 00676
Phone (787) 882-7679

Other identifiers 3

IdentifierTypeStateIssuer
052219OtherPRCRUZ AZUL
9164OtherPRFIRST MEDICAL
31221OtherPRTRIPLE SSS

Other names 1

  • JORGE L MENDEZ COLON Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jorge L Mendez Colon3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

31 Calle Progreso
Aguadilla, PR 00603
Phone (787) 882-7679

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1174738736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-882-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 CALLE PROGRESO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035016",
            "telephone_number": "787-882-7679",
            "fax_number": "787-882-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO LORIMAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-877-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "052219",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "9164",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SSS",
            "identifier": "31221",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JORGE L MENDEZ COLON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.