NPIMap

Organization Active NPI

Laboratorio Clinico Velazquez, Inc

  • Clinical Medical Laboratory
  • Isabela, PR
National Provider Identifier
1295033355
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1232 Issued in PR
Legal business name
LABORATORIO CLINICO VELAZQUEZ, INC
Practice address
Carr 446 KM 1.0 Int.
Bo. Cotto Y Galateo Bajo
Isabela, PR 00662-3268
Phone
(787) 609-6354
Fax
(787) 609-6354
NPI assigned
Mar 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Mrs. Lelany Velazquez, MT
Title
President
Phone
(787) 247-1360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1232 PR Primary

Addresses

Primary practice location

Carr 446 KM 1.0 Int.
Bo. Cotto Y Galateo Bajo
Isabela, PR 00662-3268

Mailing address

25 Calle Cristo Rey
Isabela, PR 00662-3268
Phone (787) 609-6354

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111116000165 PR Part B Supplier - Independent Clinical Laboratory 6002080769 Practice locations: Isabela, 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": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1295033355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CALLE CRISTO REY",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006623268",
            "telephone_number": "787-609-6354",
            "fax_number": "787-609-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 446 KM 1.0 INT.",
            "address_2": "BO. COTTO Y GALATEO BAJO",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006623268",
            "telephone_number": "787-609-6354",
            "fax_number": "787-609-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO VELAZQUEZ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "LELANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-247-1360",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.