NPIMap

Organization Active NPI

Laboratorio Clinico Canovanas

  • Clinical Medical Laboratory
  • Canovanas, PR
National Provider Identifier
1265405146
Registry record updated Oct 26, 2007
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Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
687 Issued in PR
Legal business name
LABORATORIO CLINICO CANOVANAS
Practice address
4 Calle Calderon Mujica
Canovanas, PR 00729-3213
Phone
(787) 256-2422
Fax
(787) 256-2459
NPI assigned
Feb 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Mr. Gualberto Ortiz-Rodriguez, MT (ASCP)
Title
Director/Owner
Phone
(787) 256-2422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 687 PR Primary

Addresses

Primary practice location

4 Calle Calderon Mujica
Canovanas, PR 00729-3213

Mailing address

PO Box 1182
Canovanas, PR 00729-1182
Phone (787) 256-2422

National Provider Directory

National Provider Directory

Locations

4 Calle Calderon Mujica
Canovanas, PR 00729
Phone (787) 256-2422

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1265405146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1182",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007291182",
            "telephone_number": "787-256-2422",
            "fax_number": "787-256-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CALLE CALDERON MUJICA",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293213",
            "telephone_number": "787-256-2422",
            "fax_number": "787-256-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO CANOVANAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "ORTIZ-RODRIGUEZ",
        "authorized_official_first_name": "GUALBERTO",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "787-256-2422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT (ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.