Laboratorio Clinico Bacteriologico Caribbean, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

802 Issued in PR

Legal business name

LABORATORIO CLINICO BACTERIOLOGICO CARIBBEAN, INC.

Practice address

51-36 Ave Main
Santa Rosa
Bayamon, PR 00959-6636

Phone

(787) 798-2355

Fax

(787) 779-8305

NPI assigned

Jul 30, 2006

Last updated

May 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carlos A Valle, MEDICAL TECHNOLOGIST

Title

President

Phone

(787) 798-2355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1205841756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8571",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009608571",
            "telephone_number": "787-798-2355",
            "fax_number": "787-779-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51-36 AVE MAIN",
            "address_2": "SANTA ROSA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596636",
            "telephone_number": "787-798-2355",
            "fax_number": "787-779-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO BACTERIOLOGICO CARIBBEAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "VALLE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-798-2355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MEDICAL TECHNOLOGIST"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda I. Kuilan
• La Perla de Gran Precio
• Lab Clinico CDT Minillas
• Lab Clinico Van Scoy
• Gary Labadie, M.D.
• Laboratorio Clinico Bayamon Oeste Inc
• Laboratorio Clinico Bella Vista
• Laboratorio Clinico Dr. Cajigas, Inc.
• Laboratorio Clinico Dy-Matos, Inc.
• Laboratorio Clinico Especializado

• Clinical Medical Laboratory in Bayamon, PR
• Providers in Bayamon, 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 May 4, 2012; 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.