Organization Active NPI

Clinical & Laboratory Management

  • Clinic/Center
  • Cayey, PR
National Provider Identifier
1174756704
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
122 Issued in PR
Legal business name
CLINICAL & LABORATORY MANAGEMENT
Practice address
Street Barcelo Num 12 Corner 173 Cidra PR 00739
PMB 1111 Box 6400
Cayey, PR 00737-6400
Phone
(797) 739-2054
Fax
(787) 739-5525
NPI assigned
Aug 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Mrs. Collazo Ortiz Marisol, MT MS
Title
Ejecutive Director
Phone
(787) 739-2054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 122 PR Primary

Addresses

Primary practice location

Street Barcelo Num 12 Corner 173 Cidra PR 00739
PMB 1111 Box 6400
Cayey, PR 00737-6400

Mailing address

Calle Barcelo Num 12 Esq Carr 173 Cidra, PR
PMB 1111 Box 6400
Cayey, PR 00737-6400
Phone (787) 739-2054

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1174756704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE BARCELO NUM 12 ESQ CARR 173 CIDRA, PR",
            "address_2": "PMB 1111 BOX 6400",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007376400",
            "telephone_number": "787-739-2054",
            "fax_number": "787-739-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET BARCELO NUM 12 CORNER 173 CIDRA PR 00739",
            "address_2": "PMB 1111 BOX 6400",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007376400",
            "telephone_number": "797-739-2054",
            "fax_number": "787-739-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL & LABORATORY MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "MARISOL",
        "authorized_official_first_name": "COLLAZO",
        "authorized_official_middle_name": "ORTIZ",
        "authorized_official_title_or_position": "EJECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-739-2054",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT MS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.