Laboratorio Clinico Jomyr III, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABORATORIO CLINICO JOMYR III, LLC

Practice address

125 Ave. Ponce de Leon
Amelia Waterfront
Guaynabo, PR 00965

Phone

(939) 777-0773

NPI assigned

Feb 28, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Myrnali Rivera

Title

President

Phone

(939) 777-0773

Specialties & licenses 1

Addresses

Electronic endpoints 3

Locations

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1235763269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CARR. 693, PMB 212",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "939-777-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 AVE. PONCE DE LEON",
            "address_2": "AMELIA WATERFRONT",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00965",
            "telephone_number": "939-777-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO JOMYR III, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MYRNALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-777-0773",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Guaynabo",
            "affiliation": "N",
            "address_1": "125 Ave. Ponce de Leon",
            "address_2": "Amelia Waterfront",
            "city": "Guaynabo",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Guaynabo",
            "affiliation": "N",
            "address_1": "125 Ave. Ponce de Leon",
            "address_2": "Amelia Waterfront",
            "city": "Guaynabo",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Guaynabo",
            "affiliation": "N",
            "address_1": "125 Ave. Ponce de Leon",
            "address_2": "Amelia Waterfront",
            "city": "Guaynabo",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Laboratorio Clinico Guaynabo
• Laboratorio Clinico Lagos de Plata 2
• Laboratorio Clinico Las Colinas Inc.
• Laboratorio Clinico Munoz Rivera Inc
• Laboratorio Clinico Plaza Caparra
• Laboratorio Clinico Plaza Inc

• Clinical Medical Laboratory in Guaynabo, PR
• Providers in Guaynabo, 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 Feb 28, 2020; 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.