Organization Active NPI

Carmen Pino Lopez Castro

  • Clinical Medical Laboratory
  • Mayaguez, PR
National Provider Identifier
1295739696
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
880 Issued in PR
Legal business name
CARMEN PINO LOPEZ CASTRO
Practice address
Ave. Corazonez 1065
Medico Profecional 207
Mayaguez, PR 00680
Phone
(787) 265-6966
NPI assigned
Jun 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Mrs. Iris Rodriguez, LPN
Title
Lab Administrator
Phone
(787) 265-6966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 880 PR Primary

Addresses

Primary practice location

Ave. Corazonez 1065
Medico Profecional 207
Mayaguez, PR 00680

Mailing address

Ave. Corazonez 1065
Medico Profecional 207
Mayaguez, PR 00680
Phone (787) 265-6966

Other names 1

  • PROLAB Doing business as

National Provider Directory

National Provider Directory

Locations

1065 Ave Los Corazones
Ste 207
Mayaguez, PR 00680

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1295739696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. CORAZONEZ 1065",
            "address_2": "MEDICO PROFECIONAL 207",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-265-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. CORAZONEZ 1065",
            "address_2": "MEDICO PROFECIONAL 207",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-265-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN PINO LOPEZ CASTRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "LAB ADMINISTRATOR",
        "authorized_official_telephone_number": "787-265-6966",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROLAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.