NPIMap

Organization Active NPI

Laboratorio Clinico Jardines de Yabucoa

  • Clinical Medical Laboratory
  • Yabucoa, PR
National Provider Identifier
1275516668
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
817 Issued in PR
Legal business name
LABORATORIO CLINICO JARDINES DE YABUCOA
Practice address
Urbanizacion Mendez #95 Calle a
Yabucoa, PR 00767
Phone
(787) 893-7702
Fax
(787) 893-7702
NPI assigned
Nov 21, 2005
Organization subpart
Yes
Parent organization
LABORATORIO CLINICO Y BACTERIOLOGICO GLADY AN INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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

Authorized official

Name
Mr. Jose A Torres, MT
Title
Owner
Phone
(787) 893-7702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 817 PR Primary

Addresses

Primary practice location

Urbanizacion Mendez #95 Calle a
Yabucoa, PR 00767

Mailing address

PO Box 609
Yabucoa, PR 00767
Phone (787) 893-7702

Other identifiers 1

IdentifierTypeStateIssuer
40D0861099OtherCLIA

Other names 1

  • Laboratorio Clinico Jardines de Yabucoa Doing business as

National Provider Directory

National Provider Directory
Part of
Laboratorio Clinico Jardines de Yabucoa

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1275516668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767",
            "telephone_number": "787-893-7702",
            "fax_number": "787-893-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANIZACION MENDEZ #95 CALLE A",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767",
            "telephone_number": "787-893-7702",
            "fax_number": "787-893-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO JARDINES DE YABUCOA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LABORATORIO CLINICO Y BACTERIOLOGICO GLADY AN INC",
        "enumeration_date": "2005-11-21",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-893-7702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "40D0861099",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Jardines de Yabucoa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laboratorio Clinico Jardines de Yabucoa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yabucoa, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.