Active NPI
Laboratorio Clinico Barrazas Inc
- Clinical Medical Laboratory
- Carolina, PR
National Provider Identifier
1265916605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORIO CLINICO BARRAZAS INC
- Practice address
- A2 Avenida Roberto Sanchez Vilella
Castellana Garden
Carolina, PR 00983 - Phone
- (787) 985-1710
- NPI assigned
- Sep 21, 2018
- Organization subpart
- Yes
- Parent organization
- LABORATORIO CLINICO BARRAZAS 2
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yadith Del Valle
- Title
- Mt
- Phone
- (787) 776-1300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
A2 Avenida Roberto Sanchez Vilella
Castellana Garden
Carolina, PR 00983
Mailing address
HC 645 Box 6344
Trujillo Alto, PR 00976
Phone (787) 349-7841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376860635 | Medicaid | PR |
Other names 1
- laboratorio Clinico Barrazas 2
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100823000989 | PR | Part B Supplier - Independent Clinical Laboratory | 5799809083 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Carolina, 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
- Carolina, PR
- NPI 1376860635
O20100823000989
National Provider Directory
National Provider Directory- Tax ID family
- Lab Clinico Barra Inc
- Part of
- Lab Clinico Barra Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Carolina, PR
- NPI 1376860635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537488000000",
"number": "1265916605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 645 BOX 6344",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "00976",
"telephone_number": "787-349-7841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "A2 AVENIDA ROBERTO SANCHEZ VILELLA",
"address_2": "CASTELLANA GARDEN",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00983",
"telephone_number": "787-985-1710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO BARRAZAS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LABORATORIO CLINICO BARRAZAS 2",
"enumeration_date": "2018-09-21",
"last_updated": "2018-09-21",
"status": "A",
"authorized_official_last_name": "DEL VALLE",
"authorized_official_first_name": "YADITH",
"authorized_official_title_or_position": "MT",
"authorized_official_telephone_number": "787-776-1300"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376860635",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "laboratorio Clinico Barrazas 2",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "laboratorio Clinico Barrazas 2",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Carolina, PR
- La Casa del Convaleciente, Inc.
- Jorge Antonio La Cruz Rivera
- La Medica, LLC
- Lab. Clinico Rosario
- Laboratorio Clinico Antillanos LLC
- Laboratorio Clinico Barrazas Inc
- Laboratorio Clinico Bio Tech Inc
- Laboratorio Clinico DCN Corp
- Laboratorio Clinico Doctor Center, Inc.
- Laboratorio Clinico Francisco Landron Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.