Organization Active NPI

Laboratorio Clinico Padua LLC

  • Clinical Medical Laboratory
  • San Sebastian, PR
National Provider Identifier
1245821354
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Jul 29, 2021

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.