Active NPI
Laboratorio Sagrada Familia Corp.
- Clinical Medical Laboratory
- Villalba, PR
National Provider Identifier
1265523583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 1060
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Clinical Medical Laboratory
- Juana Diaz, PR
- NPI 1881494847
O20121121000183
National Provider Directory
National Provider Directory- Tax ID family
- Laboratorio Sagrada Familia
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Juana Diaz, PR
- NPI 1881494847
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.