Active NPI
Laboratorio Clinico Santiago Inc
- Clinical Medical Laboratory
- Utuado, PR
National Provider Identifier
1245707561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2022
- 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
- Raimundo Rivera-Perez, MT
- Title
- Owner/President
- Phone
- (787) 894-7482
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Laboratorio Clinico Caparros LLC
- Laboratorio Clinico Central
- Laboratorio Clinico El Vivi
- Laboratorio Clinico Otoao LLC
- Laboratorio Clinico Rivera Inc
- Laboratorio Clinico Torres
- Laboratorio Clinicoy Bacteriologico Santiago
- Carlos R Laguillo, M.D.
- LC Critical Care
- Lenscrafters International Inc (Pearle Vision #C7202)
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.