Laboratorio Clinico Irizarry Guasch Inc
Organization Active NPI Clinical Medical Laboratory · Ponce, PR
NPI 1205658705 · NPPES record last updated Oct 28, 2024
Key facts
- NPI
- 1205658705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- LABORATORIO CLINICO IRIZARRY GUASCH INC
- Practice address
- 99 Central Carr 14 Bo Coto Laurel
Ponce, PR 00780-1176 - Phone
- (787) 808-6701
- Fax
- (787) 899-1861
- NPI assigned
- Oct 28, 2024
- Organization subpart
- No
Authorized official
- Name
- Mrs. Nilsa I Irizarry Guasch
- Title
- Secretaria Corporacion
- Phone
- (787) 899-7223
Other NPIs on the same Medicare enrollment 23
Corporate family (same tax ID) 24
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 40D0667128 | Laboratorio Clinico Irizarry Guasch | Compliance | Aug 25, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070906000500 | PR | Part B Supplier - Independent Clinical Laboratory | 3476646597 |
23 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mayaguez, PR; Ponce, PR; Sabana Grande, PR; Salinas, PR; San Sebastian, PR; Santa Isabel, PR; Yauco, PR; San German, PR… |
National Provider Directory
- Tax ID family
- Laboratorio Irizarry Guasch
Locations
99 Calle Central
#14
Coto Laurel, PR 00780
100 Calle Emilio Gonzalez
Isabela, PR 00662
Phone (787) 872-2165
100 Calle Emilio Gonzalez
#2
Isabela, PR 00662
Phone (787) 872-2165
51 Calle de Diego E
Mayaguez, PR 00680
Phone (787) 833-0470
40 Ave Vicente Quilinchini
Sabana Grande, PR 00637
Phone (787) 899-7223
42 Calle Dr Santiago Veve
San German, PR 00683
Phone (787) 827-9617
1 Calle Providencia Barrero
San Sebastian, PR 00685
Phone (787) 896-6520
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
99 Central Carr 14 Bo Coto Laurel
Ponce, PR 00780-1176
Mailing address
PO Box 593
Lajas, PR 00667-0593
Phone (787) 899-7223
Other names
- Laboratorio Clinico Irizarry Guasch Inc
Other providers in Ponce, PR
- Laboratorio Clinico Coliseo Inc
- Laboratorio Clinico El Tuque, Inc
- Laboratorio Clinico Elena LLC
- Laboratorio Clinico Ely
- Laboratorio Clinico Fagot, Inc.
- Laboratorio Clinico Irizarry Guasch Inc
- Laboratorio Clinico Kamil, Inc.
- Laboratorio Clinico L O P Laurel Inc
- Laboratorio Clinico Margimar Inc
- Laboratorio Clinico Munoz Rivera
All providers in Ponce, PR · Clinical Medical Laboratory in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.