Laboratorio Clinico San Cristobal Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1098 Issued in PR

Legal business name

LABORATORIO CLINICO SAN CRISTOBAL INC

Practice address

Carr 183 KM 186
Las Piedras, PR 00771

Phone

(787) 733-7065

Fax

(787) 733-7065

NPI assigned

Sep 16, 2006

Last updated

Jul 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jeannette Torres-Rivera, MT ASCP

Title

Owner

Phone

(787) 733-7065

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico San Cristobal Inc Other name

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": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1265538938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1600",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007711600",
            "telephone_number": "787-733-7065",
            "fax_number": "787-733-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 183 KM 186",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-733-7065",
            "fax_number": "787-733-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO SAN CRISTOBAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "TORRES-RIVERA",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-733-7065",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico San Cristobal Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Laboratorio Clinico Y Bacteriologico Rodriguez Inc (Laboratorio Clinico Rodriguez)
• Las Piedras Dental Group P.S.C.
• Las Piedras Medical Equipment
• Amanda Raquel Lebron, NP
• Maria Lebron

• Clinical Medical Laboratory in Las Piedras, PR
• Providers in Las Piedras, 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 11, 2008; 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.