Yolanda Maldonado Maldonado

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

568 Issued in PR

Legal business name

YOLANDA MALDONADO MALDONADO

Doing business as

LABORATORIO CLINICO ALMENDROS

Practice address

CC 35 Calle Ceiba
Rio Hondo III
Bayamon, PR 00961-3419

Phone

(787) 785-1233

Fax

(787) 780-2622

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Yolanda Maldonado, MT

Title

Owner

Phone

(787) 785-1233

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• LABORATORIO CLINICO ALMENDROS Doing business as

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1275627234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CC 35 CALLE CEIBA",
            "address_2": "RIO HONDO III",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613419",
            "telephone_number": "787-785-1233",
            "fax_number": "787-780-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CC 35 CALLE CEIBA",
            "address_2": "RIO HONDO III",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613419",
            "telephone_number": "787-785-1233",
            "fax_number": "787-780-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOLANDA MALDONADO MALDONADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-785-1233",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S",
            "identifier": "3-0349",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "6200024",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "8000209",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC",
            "identifier": "7675",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "51018",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSSAM",
            "identifier": "1275627234",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO ALMENDROS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Bayamon, PR
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• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.