Laboratorios San Juan PSC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABORATORIOS SAN JUAN PSC

Practice address

429 Avenida Barbosa
Plaza Barbosa Stream Mall Local 4
San Juan, PR 00917-0000

Phone

(787) 707-1983

Fax

(787) 277-1559

NPI assigned

Sep 23, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Gladys Zayas

Title

Propietaria

Phone

(787) 707-1983

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1194194944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51991",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009501991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 AVENIDA BARBOSA",
            "address_2": "PLAZA BARBOSA STREAM MALL LOCAL 4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009170000",
            "telephone_number": "787-707-1983",
            "fax_number": "787-277-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIOS SAN JUAN PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "ZAYAS",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "PROPIETARIA",
        "authorized_official_telephone_number": "787-707-1983",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Sep 23, 2015; 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.