Laboratorio Clinico Isamar, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

992 Issued in PR

Legal business name

LABORATORIO CLINICO ISAMAR, INC.

Practice address

HC 3 Box 39173
Aguadilla, PR 00603-9456

Phone

(787) 450-2343

Fax

(787) 830-7605

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Miriam Perez, M.T.NPI 1295991032

Title

Medical Technologist

Phone

(787) 830-7605

Specialties & licenses 1

Addresses

Other names 1

• LABORATORIO CLINICO ISAMAR, INC. Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miriam Perez, LCDA.

  • Clinical Medical Laboratory
  • Aguadilla, PR
  • NPI 1295991032
  NPD Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275678187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7351 AVE SFC AGUSTIN RAMOS CALERO",
            "address_2": "SUITE 1",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006625206",
            "telephone_number": "787-830-7605",
            "fax_number": "787-830-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 39173",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039456",
            "telephone_number": "787-450-2343",
            "fax_number": "787-830-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO ISAMAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "MEDICAL TECHNOLOGIST",
        "authorized_official_telephone_number": "787-830-7605",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO ISAMAR, INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Medical Laboratory in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.