Active NPI
Laboratorio Clinico CDT Toa Alta
- Clinical Medical Laboratory
National Provider Identifier
1174924393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 706
- Legal business name
- LABORATORIO CLINICO CDT TOA ALTA
- Practice address
- 16 Calle Antonio R Barcelo
Toa Alta, PR 00953
UM - Phone
- (787) 230-7190
- Fax
- (787) 230-7190
- NPI assigned
- Sep 8, 2014
- Last updated
- Sep 8, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Aracelis Rivera Mercado, TECNOLOGO MEDICO
- Title
- Directora
- Phone
- (787) 230-7190
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 706 | PR | Primary |
Addresses
Primary practice location
16 Calle Antonio R Barcelo
Toa Alta, PR 00953
UM
Mailing address
PO Box 1649
Canovanas, PR 00729
UM
Phone (787) 230-7190
National Provider Directory
National Provider Directory- Tax ID family
- CDT Toa Alta Pueblo
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba SM Medical Services
- Emergency Care Clinic/Center
- Toa Alta, PR
- NPI 1518290881
-
- General Practice Physician
- Canovanas, PR
- NPI 1609917848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410134400000",
"number": "1174924393",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "PO BOX 1649",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "00729",
"telephone_number": "787-230-7190",
"fax_number": "787-230-7190"
},
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "LOCATION",
"address_type": "FGN",
"address_1": "16 CALLE ANTONIO R BARCELO",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "00953",
"telephone_number": "787-230-7190",
"fax_number": "787-230-7190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO CDT TOA ALTA",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-08",
"last_updated": "2014-09-08",
"status": "A",
"authorized_official_last_name": "RIVERA MERCADO",
"authorized_official_first_name": "ARACELIS",
"authorized_official_title_or_position": "DIRECTORA",
"authorized_official_telephone_number": "787-230-7190",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "TECNOLOGO MEDICO"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.