NPIMap

Organization Active NPI

Laboratorio Clinico Irizarry Guasch Inc

  • Clinical Medical Laboratory
  • San Sebastian, PR
National Provider Identifier
1285703132
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
644 Issued in PR
Legal business name
LABORATORIO CLINICO IRIZARRY GUASCH INC
Practice address
1 Calle Providencia Barrero
San Sebastian, PR 00685-2146
Phone
(787) 896-6520
Fax
(787) 896-6520
NPI assigned
Nov 7, 2006
Last updated
Feb 4, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
LABORATORIO CLINICO IRIZARRY GUASCH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Mr. Jose Rafael Sanchez
Title
Presidente
Phone
(787) 899-7222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 644 PR Primary

Addresses

Primary practice location

1 Calle Providencia Barrero
San Sebastian, PR 00685-2146

Mailing address

PO Box 125
Lajas, PR 00667
Phone (787) 899-7222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070906000500 PR Part B Supplier - Independent Clinical Laboratory 3476646597 23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mayaguez, PR; Ponce, PR; Sabana Grande, PR; Salinas, PR; San Sebastian, PR; Santa Isabel, PR; Yauco, PR; San German, PR…

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Clinico Anexo Irizarry Guasch Inc26 organizations share this tax ID, including this one
Part of
Laboratorio Clinico Anexo Irizarry Guasch Inc

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1285703132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "787-899-7222",
            "fax_number": "787-899-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE PROVIDENCIA BARRERO",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852146",
            "telephone_number": "787-896-6520",
            "fax_number": "787-896-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO IRIZARRY GUASCH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LABORATORIO CLINICO IRIZARRY GUASCH INC",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-899-7222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.