Puerto Rico Citylabs LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

12-098 Issued in PR

Legal business name

PUERTO RICO CITYLABS LLC

Practice address

101 Ave San Patricio
Maramar Plaza, Suite G2
Guaynabo, PR 00968-2645

Phone

(787) 707-8888

NPI assigned

Mar 7, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Radames Matos

Title

President

Phone

(787) 707-8888

Specialties & licenses 1

Addresses

Other names 1

• CityLabs Other name

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1275959884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3865",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009703865",
            "telephone_number": "787-707-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AVE SAN PATRICIO",
            "address_2": "MARAMAR PLAZA, SUITE G2",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009682645",
            "telephone_number": "787-707-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO CITYLABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "RADAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-707-8888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "12-098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CityLabs",
            "code": "5",
            "type": "Other 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 Mar 7, 2014; 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.