NPIMap

Organization Active NPI

Laboratorio Clinico del Mar L.L.C

  • Clinical Medical Laboratory
  • Manati, PR
National Provider Identifier
1225028996
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
675 Issued in PR
Legal business name
LABORATORIO CLINICO DEL MAR L.L.C
Practice address
Centro Comercial Puerta del Sol
Suite #2
Manati, PR 00674
Phone
(787) 858-8362
NPI assigned
Oct 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Authorized official

Name
Maria Melendez
Title
Laboratory Director
Phone
(787) 406-1521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 675 PR Primary

Addresses

Primary practice location

Centro Comercial Puerta del Sol
Suite #2
Manati, PR 00674

Mailing address

P.O. Box 2221
Manati, PR 00674-2221
Phone (787) 406-1521

Other practice location 1

Edificio Puerta del Norte
Suite 5
Manati, PR 00674-1741
Phone (787) 854-3570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080304000796 PR Part B Supplier - Independent Clinical Laboratory 8123103983 1 other NPI on this enrollment
Practice locations: Manati, PR
O20120824000222 PR Part B Supplier - Independent Clinical Laboratory 3577710672 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Manati, PR; Vega Baja, PR

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Clinico del Mar4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1225028996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2221",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006742221",
            "telephone_number": "787-406-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO COMERCIAL PUERTA DEL SOL",
            "address_2": "SUITE #2",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-858-8362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Edificio Puerta del Norte",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Manati",
            "state": "PR",
            "postal_code": "006741741",
            "country_code": "US",
            "telephone_number": "787-854-3570",
            "fax_number": "787-854-3565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LABORATORIO CLINICO DEL MAR L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "787-406-1521"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.