Organization Active NPI

Royal Inc

  • Clinical Medical Laboratory
  • Bayamon, PR
National Provider Identifier
1205928256
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
863 Issued in PR
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20160111000083 PR Part B Supplier - Independent Clinical Laboratory 6507168416 Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory
Tax ID family
Lab Clinico Royal2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.