Laboratorio Clinico Bahia Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1197 Issued in PR

Legal business name

LABORATORIO CLINICO BAHIA INC

Practice address

125 Ave Ponce de Leon
Guaynabo, PR 00965-5602

Phone

(787) 936-2779

NPI assigned

Jul 11, 2012

Organization subpart

No

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

Authorized official

Name

Myrnali RiveraNPI 1659050086

Title

Owner

Phone

(939) 777-0773

Specialties & licenses 1

Addresses

Other names 1

• LABORATORIO CLINICO BAHIA Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

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

• Myrnali Rivera

  • Occupational Medicine Clinic/Center
  • Guaynabo, PR
  • NPI 1659050086
  NPD Authorized official
• Karines Rivera Marrero, MD

  • Anesthesiology Physician
  • Moca, PR
  • NPI 1780811331
  NPD

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1275898736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 CALLE ALMENDRO",
            "address_2": "GRAND PALM II",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006929037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 AVE PONCE DE LEON",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009655602",
            "telephone_number": "787-936-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO BAHIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MYRNALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "939-777-0773"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO BAHIA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Medical Laboratory in Guaynabo, PR
• Providers in Guaynabo, 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 Nov 14, 2024; 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.