Organization Active NPI

Laboratorio Clinico Plaza del Norte Inc.

  • Clinical Medical Laboratory
  • Hatillo, PR
National Provider Identifier
1275645988
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
916 Issued in PR
Legal business name
LABORATORIO CLINICO PLAZA DEL NORTE INC.
Practice address
Calle la Militar No 517
Hatillo, PR 00659
Phone
(787) 878-1359
Fax
(787) 878-1359
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Annie R Rodriguez-Bosch, MS MT
Title
Laboratory Director
Phone
(787) 878-1359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 916 PR Primary

Addresses

Primary practice location

Calle la Militar No 517
Hatillo, PR 00659

Mailing address

PO Box 2137
Arecibo, PR 00613
Phone (787) 878-1359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130717000716 PR Part B Supplier - Independent Clinical Laboratory 8820238793 Practice locations: Hatillo, PR

National Provider Directory

National Provider Directory

Locations

517 La Militar
Carr 2 KM 820
Hatillo, PR 00659
Phone (787) 878-1359

517 Calle La Militar
Hatillo, PR 00659

517 La Militar
Carr 2 KM 820
Hatillo, PR 00659
Phone (787) 878-1359

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1275645988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2137",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00613",
            "telephone_number": "787-878-1359",
            "fax_number": "787-878-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LA MILITAR NO 517",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-878-1359",
            "fax_number": "787-878-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO PLAZA DEL NORTE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-BOSCH",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "787-878-1359",
        "authorized_official_credential": "MS MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.