Laboratorio Clinico Ciudadela Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABORATORIO CLINICO CIUDADELA INC

Practice address

Cuidadela
Avenida Ponce de Leon 1511
San Juan, PR 00908

Phone

(787) 287-0650

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Nilsa Marrero

Title

President

Phone

(787) 287-0650

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1184249690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CALE JUAN C BORBON STE 69",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-287-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CUIDADELA",
            "address_2": "AVENIDA PONCE DE LEON 1511",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00908",
            "telephone_number": "787-287-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO CIUDADELA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "NILSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-287-0650",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lablascolinas@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "CUIDADELA",
            "address_2": "AVENIDA PONCE DE LEON 1511",
            "city": "SAN JUAN",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laboratorio Clinico Campo Rico ,Inc.
• Laboratorio Clinico CDT Dr. Arnaldo J Garcia
• Laboratorio Clinico CDT Dr. Javier J Anton
• Laboratorio Clinico CDT Dr. Jose Lopez Antongiorgi
• Laboratorio Clinico CDT Dr. Jose S Belaval
• Laboratorio Clinico Country Club
• Laboratorio Clinico Country Club
• Laboratorio Clinico DCN Corp (Laboratorio Clinico DCN II)
• Laboratorio Clinico del Parque Inc
• Laboratorio Clinico Dr. Gualberto Rabell

• 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 Mar 16, 2021; 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.