Laboratorio Clinico Juncos; Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

230 Issued in PR

Legal business name

LABORATORIO CLINICO JUNCOS; INC

Practice address

30 Teodomiro Delfaus
Juncos, PR 00777-3258

Phone

(787) 687-1926

Fax

(787) 687-0207

NPI assigned

Aug 3, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Juan Gustavo Suero Sr., PRESIDENTE

Title

Presidente

Phone

(787) 687-1926

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1225039019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1920",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007773258",
            "telephone_number": "787-687-1926",
            "fax_number": "787-687-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TEODOMIRO DELFAUS",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007773258",
            "telephone_number": "787-687-1926",
            "fax_number": "787-687-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO JUNCOS; INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "SUERO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "GUSTAVO",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-687-1926",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PRESIDENTE"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joho Estudio Quiropractico LLC
• Jose Carlos Flores Santiago
• Juncos First Medical Center Inc.
• Juncos Medical Equipment Inc
• Marinaida La Salle Rodriguez, MD
• Laboratorio Clinico Valenciano del Este, Inc.
• Miguel A Laboy Pabon, M.D.
• Erika Lebron
• Legacy Critical Care Ambulance LLC
• Jeanette Marie Lind Alicea

• Clinical Medical Laboratory in Juncos, PR
• Providers in Juncos, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.