Active NPI
Laboratorio Clinico Padua LLC
- Clinical Medical Laboratory
- San Sebastian, PR
National Provider Identifier
1245821354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORIO CLINICO PADUA LLC
- Practice address
- Carr 125 KM 16.2 Bo. Guatemala
San Sebastian, PR 00685-0068 - Phone
- (787) 280-7854
- NPI assigned
- Feb 1, 2021
- 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
- Mrs. Tatiana Gonzalez, MLS
- Title
- General Supervisor
- Phone
- (939) 274-7854
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
Carr 125 KM 16.2 Bo. Guatemala
San Sebastian, PR 00685-0068
Mailing address
HC 7 Box 76533
San Sebastian, PR 00685-7343
Phone (939) 274-7854
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627516800000",
"number": "1245821354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 7 BOX 76533",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006857343",
"telephone_number": "939-274-7854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 125 KM 16.2 BO. GUATEMALA",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006850068",
"telephone_number": "787-280-7854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO PADUA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-01",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "TATIANA",
"authorized_official_title_or_position": "GENERAL SUPERVISOR",
"authorized_official_telephone_number": "939-274-7854",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MLS"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Sebastian, PR
- Laboratorio Clinico Hoyamala
- Laboratorio Clinico Irizarry Guasch
- Laboratorio Clinico Irizarry Guasch
- Laboratorio Clinico Irizarry Guasch Inc
- Laboratorio Clinico Lebron, Inc.
- Laboratorio Clinico Pujols, Inc.
- Laboratorio Clinico San Antonio
- Mayra I Laguerre Rosa
- Confesor Lasalle-Ruiz, M.D.
- Lassalle & Vissepo Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.