Organization Active NPI

Laboratorio Clinico Santiago Inc

  • Clinical Medical Laboratory
  • Utuado, PR
National Provider Identifier
1245707561
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORIO CLINICO SANTIAGO INC
Practice address
83 Calle Dr Cueto
Utuado, PR 00641-2804
Phone
(787) 894-7482
Fax
(787) 894-5550
NPI assigned
Oct 24, 2018
Last updated
May 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Raimundo Rivera-Perez, MT
Title
Owner/President
Phone
(787) 894-7482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

83 Calle Dr Cueto
Utuado, PR 00641-2804

Mailing address

83 Calle Dr Cueto
Utuado, PR 00641-2804
Phone (787) 894-7482

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1245707561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 CALLE DR CUETO",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006412804",
            "telephone_number": "787-894-7482",
            "fax_number": "787-894-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 CALLE DR CUETO",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006412804",
            "telephone_number": "787-894-7482",
            "fax_number": "787-894-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO SANTIAGO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "RIVERA-PEREZ",
        "authorized_official_first_name": "RAIMUNDO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "787-894-7482",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utuado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.