Active NPI
Laboratorio Clinico Barbosa Inc
- Clinical Medical Laboratory
- San Juan, PR
National Provider Identifier
1205849924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 576
- Legal business name
- LABORATORIO CLINICO BARBOSA INC
- Practice address
- 315 Ave Barbosa
San Juan, PR 00917-3306 - Phone
- (787) 767-2145
- Fax
- (787) 751-9253
- NPI assigned
- Aug 14, 2006
- Last updated
- Aug 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Porfirio Rosado Jr., R.N.
- Title
- Administrator
- Phone
- (787) 767-2145
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 576 | PR | Primary |
Addresses
Primary practice location
315 Ave Barbosa
San Juan, PR 00917-3306
Mailing address
#315 Ave Barbosa
San Juan, PR 00917-3306
Phone (787) 767-2145
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20362 | Other | PR | PMC PROVIDER ID |
| 400235 | Other | PR | UTI PROVIDER ID |
| 890117 | Other | PR | MMM PROVIDER ID |
| LA0124 | Other | PR | PALIC PROVIDER ID |
| 1204 | Other | PR | AMERICAN H. MEDICARE ID |
| 0038294 | Other | PR | MEDICARE |
| 050989 | Other | PR | CRUZ AZUL PROVIDER ID |
| 30361 | Other | PR | TRIPLE S PROVIDER ID |
| 83294 | Other | PR | SDM PROVIDER ID |
| 61101 | Other | PR | HUMANA GOLD PLUS ID |
| 9190041 | Other | PR | HUMANA PROVIDER ID |
| LB00576 | Other | PR | UIA PROVIDER ID |
| 20217 | Other | PR | AMERICAN HEALTH ID |
| 8333 | Other | PR | IMC PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100811000729 | PR | Part B Supplier - Independent Clinical Laboratory | 7214061340 | Practice locations: San Juan, PR |
National Provider Directory
National Provider DirectoryLocations
315 Ave Barbosa
San Juan, PR 00917
Phone (787) 767-2145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438560000000",
"number": "1205849924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#315 AVE BARBOSA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009173306",
"telephone_number": "787-767-2145",
"fax_number": "787-751-9253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 AVE BARBOSA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009173306",
"telephone_number": "787-767-2145",
"fax_number": "787-751-9253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO BARBOSA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2015-08-03",
"status": "A",
"authorized_official_last_name": "ROSADO",
"authorized_official_first_name": "PORFIRIO",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "787-767-2145",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "576",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PMC PROVIDER ID",
"identifier": "20362",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTI PROVIDER ID",
"identifier": "400235",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM PROVIDER ID",
"identifier": "890117",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALIC PROVIDER ID",
"identifier": "LA0124",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN H. MEDICARE ID",
"identifier": "1204",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "0038294",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL PROVIDER ID",
"identifier": "050989",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S PROVIDER ID",
"identifier": "30361",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SDM PROVIDER ID",
"identifier": "83294",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA GOLD PLUS ID",
"identifier": "61101",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA PROVIDER ID",
"identifier": "9190041",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UIA PROVIDER ID",
"identifier": "LB00576",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH ID",
"identifier": "20217",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMC PROVIDER ID",
"identifier": "8333",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Laboratorio Clinico Altamira PSC
- Laboratorio Clinico Amelia (zoraida fontan ortiz)
- Laboratorio Clinico Amyr Inc
- Laboratorio Clinico Aned, Inc
- Laboratorio Clinico Anibel (Maribel Torres)
- Laboratorio Clinico Borges
- Laboratorio Clinico Borges
- Laboratorio Clinico Borges II
- Laboratorio Clinico Borinquen-San Francisco
- Laboratorio Clinico Brumbaugh Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.