Organization Active NPI

Laboratorio Sagrada Familia Corp.

  • Clinical Medical Laboratory
  • Villalba, PR
National Provider Identifier
1265523583
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1060 Issued in PR
Legal business name
LABORATORIO SAGRADA FAMILIA CORP.
Practice address
Sector Tierra Santa
Carr 149 KM 58.7
Villalba, PR 00766
Phone
(787) 847-4700
Fax
(787) 847-4701
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Authorized official

Name
Tensy L Cintron, MT
Title
Medical Technologist Owner
Phone
(787) 847-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1060 PR Primary

Addresses

Primary practice location

Sector Tierra Santa
Carr 149 KM 58.7
Villalba, PR 00766

Mailing address

Urbanizacion Las Alondras
Calle 8 H5
Villalba, PR 00766
Phone (787) 847-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121121000183 PR Part B Supplier - Independent Clinical Laboratory 4880845817 1 other NPI on this enrollment
Practice locations: Juana Diaz, PR; Villalba, PR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Sagrada Familia2 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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1265523583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION LAS ALONDRAS",
            "address_2": "CALLE 8 H5",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "00766",
            "telephone_number": "787-847-4700",
            "fax_number": "787-847-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SECTOR TIERRA SANTA",
            "address_2": "CARR 149 KM 58.7",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "00766",
            "telephone_number": "787-847-4700",
            "fax_number": "787-847-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO SAGRADA FAMILIA CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "CINTRON",
        "authorized_official_first_name": "TENSY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL TECHNOLOGIST OWNER",
        "authorized_official_telephone_number": "787-847-4700",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villalba, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.