Meditech3 Clinical Laboratories Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MEDITECH3 CLINICAL LABORATORIES INC

Practice address

#845 Ave. Iturregui
Urb. Ext Country Club
San Juan, PR 00924

Phone

(787) 773-1273

NPI assigned

Apr 7, 2012

Organization subpart

No

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

Authorized official

Name

Anabell Escanio Gonzalez

Title

Presidenta

Phone

(787) 948-6665

Specialties & licenses 1

Addresses

Other names 2

• LABORATORIO CLINICO MEDITECH3 INC. Former legal business name
• LABORATORIO CLINICO MEDITECH3,INC. Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1333756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1285990952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B14 CALLE UCAR",
            "address_2": "URB.SANTA CLARA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009696847",
            "telephone_number": "787-501-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#845 AVE. ITURREGUI",
            "address_2": "URB. EXT COUNTRY CLUB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-773-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDITECH3 CLINICAL LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-07",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "ESCANIO GONZALEZ",
        "authorized_official_first_name": "ANABELL",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-948-6665"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO MEDITECH3 INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "LABORATORIO CLINICO MEDITECH3,INC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Santiago Eli Medina
• Victor Gabriel Medina
• Victor Luis Medina, M.D.
• Yamil Malave Medina, PSY, D.
• Mediser-Mefdicina Interna, Corp.
• Meditest Diagnostic
• Medivida
• Medlar Medical Services C S P
• Medplus Health Services LLC
• Medscan

• Clinical Medical Laboratory in San Juan, PR
• Providers in San Juan, 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 Sep 20, 2023; 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.