Organization Active NPI

Milab LLC

  • Clinical Medical Laboratory
  • Carolina, PR
National Provider Identifier
1205278090
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
936 Issued in PR
Legal business name
MILAB LLC
Practice address
Carr 185 KM 12.5
Barrio Cedros
Carolina, PR 00985-0000
Phone
(787) 776-2492
NPI assigned
Jul 23, 2013
Last updated
Aug 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Joel Estrada, MTNPI 1669638631
Title
Owner
Phone
(787) 632-7638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 936 PR Primary

Addresses

Primary practice location

Carr 185 KM 12.5
Barrio Cedros
Carolina, PR 00985-0000

Mailing address

353 Camino Los Lirios
Urb Sabanera del Rio
Gurabo, PR 00778-5249
Phone (787) 632-7638

Other identifiers 4

IdentifierTypeStateIssuer
1811035959OtherPRLABORATORIO CLINICO CEDROS
1497897623OtherPRLABORATORIO CLINICO OLYMPIC PLAZA
1205278090OtherPRLABORATORIO CLINICO CEDROS
1205278090OtherPRLABORATORIO CLINICO OLYMPIC PLAZA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140319000376 PR Part B Supplier - Independent Clinical Laboratory 6204067168 2 other NPIs on this enrollment
Practice locations: Carolina, PR; Las Piedras, PR

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1205278090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 CAMINO LOS LIRIOS",
            "address_2": "URB SABANERA DEL RIO",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007785249",
            "telephone_number": "787-632-7638",
            "fax_number": "787-744-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 185 KM 12.5",
            "address_2": "BARRIO CEDROS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009850000",
            "telephone_number": "787-776-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-632-7638",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABORATORIO CLINICO CEDROS",
            "identifier": "1811035959",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABORATORIO CLINICO OLYMPIC PLAZA",
            "identifier": "1497897623",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABORATORIO CLINICO CEDROS",
            "identifier": "1205278090",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABORATORIO CLINICO OLYMPIC PLAZA",
            "identifier": "1205278090",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.