Active NPI
Carmen Pino Lopez Castro
- Clinical Medical Laboratory
- Mayaguez, PR
National Provider Identifier
1295739696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 880
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.