Active NPI
Laboratorio Clinico Sofia
- Clinical Medical Laboratory
- San German, PR
National Provider Identifier
1265639819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 382
- Legal business name
- LABORATORIO CLINICO SOFIA
- Practice address
- Dr Veve #42
San German, PR 00683 - Phone
- (787) 892-5881
- Fax
- (787) 892-5881
- NPI assigned
- Jun 28, 2007
- 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
- Mr. Jose A Sepulveda
- Title
- Owner
- Phone
- (787) 892-5881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 382 | PR | Primary |
Addresses
Primary practice location
Dr Veve #42
San German, PR 00683
Mailing address
42 Calle Dr Santiago Veve
San German, PR 00683-4052
Phone (787) 892-5881
Other names 1
- Laboratorio Clinico Sofia
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1265639819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 CALLE DR SANTIAGO VEVE",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "006834052",
"telephone_number": "787-892-5881",
"fax_number": "787-892-5881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DR VEVE #42",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "00683",
"telephone_number": "787-892-5881",
"fax_number": "787-892-5881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO SOFIA",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SEPULVEDA",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-892-5881",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laboratorio Clinico Sofia",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in San German, PR
- Laboratorio Clinico Jerico, Inc.
- Laboratorio Clinico Migrant San German
- Laboratorio Clinico Nazarry Inc
- Laboratorio Clinico Ortiz Rosado
- Laboratorio Clinico Sangermeno Principal
- Laboratorio Clinilab, Inc.
- Juan A Lameiro, MD
- Juan J Laracuente Reyes
- Victoria S. Larrieux Villanueva, PHD
- Harvey Lebron, M.D.
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.