Laboratorio Clinico Vivianette Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

874 Issued in PR

Legal business name

LABORATORIO CLINICO VIVIANETTE INC.

Practice address

Bo. Corrales Carr 459
Aguadilla, PR 00603

Phone

(787) 882-4121

Fax

(787) 882-4121

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Roldan Vionette, M.T.

Title

Owner

Phone

(787) 882-4121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245361740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5292",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006055292",
            "telephone_number": "787-882-4121",
            "fax_number": "787-882-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. CORRALES CARR 459",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-882-4121",
            "fax_number": "787-882-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO VIVIANETTE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VIONETTE",
        "authorized_official_first_name": "ROLDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-882-4121",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laboratorio Clinico Sahimar, Inc
• Laboratorios del Sueno de Puerto Rico
• Alexis Lagares, PHARMD
• Sonia Larrieux, BAPH
• Tomas Larrieux Sr., PH.D.
• Tatiana Del Mar Lassalle Castro

• Clinical Medical Laboratory in Aguadilla, PR
• Providers in Aguadilla, 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 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.