Active NPI
Laboratorio Villa Los Santos, LLC
- Clinical Medical Laboratory
- Arecibo, PR
National Provider Identifier
1245059534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORIO VILLA LOS SANTOS, LLC
- Practice address
- V1 Calle 16
Villa Los Santos
Arecibo, PR 00612 - Phone
- (787) 879-1585
- NPI assigned
- Oct 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria J Gonzalez Agraso
- Title
- Administradora
- Phone
- (787) 879-1585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
V1 Calle 16
Villa Los Santos
Arecibo, PR 00612
Mailing address
PO Box 9980
Arecibo, PR 00613-9980
Phone (787) 879-1585
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728000000000",
"number": "1245059534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9980",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006139980",
"telephone_number": "787-879-1585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "V1 CALLE 16",
"address_2": "VILLA LOS SANTOS",
"city": "ARECIBO",
"state": "PR",
"postal_code": "00612",
"telephone_number": "787-879-1585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO VILLA LOS SANTOS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-04",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A",
"authorized_official_last_name": "GONZALEZ AGRASO",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRADORA",
"authorized_official_telephone_number": "787-879-1585"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.