Organization Active NPI

Laboratorio Clinico CDT Toa Alta

  • Clinical Medical Laboratory
National Provider Identifier
1174924393
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
706 Issued in PR
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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)CodeLicenseStatePrimary
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 Pueblo3 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.

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.

Verify at the official NPI Registry.