Active NPI
Laboratorio Clinico Plaza del Norte Inc.
- Clinical Medical Laboratory
- Hatillo, PR
National Provider Identifier
1275645988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 916
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130717000716 | PR | Part B Supplier - Independent Clinical Laboratory | 8820238793 | Practice locations: Hatillo, PR |
National Provider Directory
National Provider DirectoryLocations
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
- Laboratorio Clinic Omaris Inc
- Laboratorio Clinic Omaris, Inc
- Laboratorio Clinico del Bo. Corcobada, Inc.
- Laboratorio Clinico El Cemi
- Laboratorio Clinico Hatillano
- Laboratorios del Sueno de Puerto Rico
- Laborotorio Clinico Y Bacteriologico Hatillo Inc
- Angelica Maria Laclaustra, B.S
- Laroptikal
- Lechuga Medical Services PSC
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.