Organization Active NPI

Laboratorio Clinico Freytes

  • Clinical Medical Laboratory
  • Loiza, PR
National Provider Identifier
1205975919
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1115 Issued in PR
Legal business name
LABORATORIO CLINICO FREYTES
Practice address
Calle 1 Lote B Urbanizacion Villas de Loiza
Loiza, PR 00729
Phone
(787) 886-2984
Fax
(787) 886-2984
NPI assigned
Feb 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Soryliz Freytes, MT
Title
Owner
Phone
(787) 886-2984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1115 PR Primary

Addresses

Primary practice location

Calle 1 Lote B Urbanizacion Villas de Loiza
Loiza, PR 00729

Mailing address

501-219 #16 Villa Carolina
Carolina, PR 00985
Phone (787) 886-2984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070420000462 PR Part B Supplier - Independent Clinical Laboratory 7911002878 Practice locations: Loiza, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205975919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501-219 #16 VILLA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-886-2984",
            "fax_number": "787-886-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 1 LOTE B URBANIZACION VILLAS DE LOIZA",
            "city": "LOIZA",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-886-2984",
            "fax_number": "787-886-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO FREYTES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREYTES",
        "authorized_official_first_name": "SORYLIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-886-2984",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loiza, 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.