Laboratorio Clinico Dy-Matos, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

431 Issued in PR

Legal business name

LABORATORIO CLINICO DY-MATOS, INC.

Practice address

C-25 Marginal
Extension Forest Hills
Bayamon, PR 00959-0000

Phone

(787) 786-4589

Fax

(787) 798-0860

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Wendy Matos, LCDA.

Title

President/Director

Phone

(787) 786-4589

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": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1255367488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 7 BOX 17157",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009538845",
            "telephone_number": "787-786-4589",
            "fax_number": "787-798-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C-25 MARGINAL",
            "address_2": "EXTENSION FOREST HILLS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009590000",
            "telephone_number": "787-786-4589",
            "fax_number": "787-798-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO DY-MATOS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "787-786-4589",
        "authorized_official_credential": "LCDA."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Labadie, M.D.
• Laboratorio Clinico Bacteriologico Caribbean, Inc.
• Laboratorio Clinico Bayamon Oeste Inc
• Laboratorio Clinico Bella Vista
• Laboratorio Clinico Dr. Cajigas, Inc.
• Laboratorio Clinico Especializado
• Laboratorio Clinico Galeria Santa Cruz,Inc.
• Laboratorio Clinico Garnier, LLC
• Laboratorio Clinico Jariselle P.S.C
• Laboratorio Clinico Marie-E, Inc.

• Clinical Medical Laboratory in Bayamon, PR
• Providers in Bayamon, 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 Jul 9, 2014; 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.