Active NPI
Royal Inc
- Clinical Medical Laboratory
- Bayamon, PR
National Provider Identifier
1205928256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 863
- Legal business name
- ROYAL INC
- Practice address
- Ave Las Cumbres Esq Carretera 840
Royal Town
Bayamon, PR 00956 - Phone
- (787) 799-7050
- Fax
- (787) 799-0606
- NPI assigned
- Sep 28, 2006
- 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. Pedro Jose Martinez, BBA
- Title
- President
- Phone
- (787) 799-7050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 863 | PR | Primary |
Addresses
Primary practice location
Ave Las Cumbres Esq Carretera 840
Royal Town
Bayamon, PR 00956
Mailing address
72 Rainiero Street
Estancias Reales
Guaynabo, PR 00969-5329
Phone (787) 799-7050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160111000083 | PR | Part B Supplier - Independent Clinical Laboratory | 6507168416 | Practice locations: Bayamon, PR |
National Provider Directory
National Provider Directory- Tax ID family
- Lab Clinico Royal
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Marksville, LA
- NPI 1578507224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205928256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 RAINIERO STREET",
"address_2": "ESTANCIAS REALES",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009695329",
"telephone_number": "787-799-7050",
"fax_number": "787-799-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE LAS CUMBRES ESQ CARRETERA 840",
"address_2": "ROYAL TOWN",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-799-7050",
"fax_number": "787-799-0606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "PEDRO",
"authorized_official_middle_name": "JOSE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-799-7050",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BBA"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.