NPIMap

Organization Active NPI

Basic Laboratory

  • Clinical Medical Laboratory
  • Hato Rey, PR
National Provider Identifier
1255547675
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
99 Issued in PR
Legal business name
BASIC LABORATORY
Practice address
Ave Munoz Rivera
Parada 31
Hato Rey, PR 00917
Phone
(787) 751-8758
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jose Ovalles, MD
Title
Accionistas
Phone
(787) 751-8758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 99 PR Primary

Addresses

Primary practice location

Ave Munoz Rivera
Parada 31
Hato Rey, PR 00917

Mailing address

Ave Munoz Rivera
Parada 31
Hato Rey, PR 00917
Phone (787) 751-8758

National Provider Directory

National Provider Directory
Tax ID family
Basic Dental Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255547675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE MUNOZ RIVERA",
            "address_2": "PARADA 31",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-751-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE MUNOZ RIVERA",
            "address_2": "PARADA 31",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-751-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIC LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OVALLES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "ACCIONISTAS",
        "authorized_official_telephone_number": "787-751-8758",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "99",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.