Organization Active NPI

Laboratorio Central de Levittown,Corp

  • Clinical Medical Laboratory
  • Toa Baja, PR
National Provider Identifier
1285754002
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
326 Issued in PR
Legal business name
LABORATORIO CENTRAL DE LEVITTOWN,CORP
Practice address
Ave Boulevard W9 Levittown
Apt 51510 Levittown
Toa Baja, PR 00950-1510
Phone
(787) 784-5004
Fax
(787) 795-6252
NPI assigned
Mar 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Luis A Ramos
Title
President
Phone
(787) 784-5004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 326 PR Primary

Addresses

Primary practice location

Ave Boulevard W9 Levittown
Apt 51510 Levittown
Toa Baja, PR 00950-1510

Mailing address

Ave Boulevard W9
Levittown
Toa Baja, PR 00950-1510

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070806000639 PR Part B Supplier - Independent Clinical Laboratory 2961593991 Practice locations: Toa Baja, PR; Vega Baja, PR; Bayamon, PR; Barceloneta, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285754002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE BOULEVARD W9",
            "address_2": "LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009501510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE BOULEVARD W9 LEVITTOWN",
            "address_2": "APT 51510 LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009501510",
            "telephone_number": "787-784-5004",
            "fax_number": "787-795-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CENTRAL DE LEVITTOWN,CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-784-5004"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • 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.