Laboratorio Clinico Jollymar Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

847 Issued in PR

Legal business name

LABORATORIO CLINICO JOLLYMAR INC

Practice address

N 24 Urb Toa Alta Heights
Toa Alta, PR 00953

Phone

(787) 797-5700

Fax

(787) 797-5700

NPI assigned

Sep 21, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Jolly Ortiz, MT

Title

Director

Phone

(787) 614-2131

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Laboratorio Clinico Jollymar Inc

  • Clinical Medical Laboratory
  • Dorado, PR
  • NPI 1750935904

  9234213687

  Same PAC ID

Tax ID family

Lab Clin Jollymar2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Laboratorio Clinico Jollymar Inc

  • Clinical Medical Laboratory
  • Dorado, PR
  • NPI 1750935904
  NPD tax ID

Locations

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1194711648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-797-5700",
            "fax_number": "787-797-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N 24 URB TOA ALTA HEIGHTS",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-797-5700",
            "fax_number": "787-797-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO JOLLYMAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "JOLLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-614-2131",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico del Toa
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• Laboratorio Clinico Galiza Inc
• Laboratorio Clinico Jariselle P.S.C
• Laboratorio Clinico Jireh Inc
• Laboratorio Clinico Plaza Palacios
• Laboratorio Clinico San Fernando
• Laboratorio Neoclinico 2, Inc
• Margarita Laguna, PSYD
• Dayana Lantigua Virella

• Clinical Medical Laboratory in Toa Alta, PR
• Providers in Toa Alta, 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 4, 2024; 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.