Active NPI
Laboratorio Clinico Torriver
- Clinical Medical Laboratory
- San Juan, PR
National Provider Identifier
1295860740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 233
- Legal business name
- LABORATORIO CLINICO TORRIVER
- Practice address
- 1688 Calle Parana
Urb. El Cerezal
San Juan, PR 00926-3144 - Phone
- (787) 764-4970
- NPI assigned
- Feb 23, 2007
- 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
- Olga J Echeverria
- Title
- Supervisor
- Phone
- (787) 764-4970
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 233 | PR | Primary |
Addresses
Primary practice location
1688 Calle Parana
Urb. El Cerezal
San Juan, PR 00926-3144
Mailing address
1688 Calle Parana
Urb. El Cerezal
San Juan, PR 00926-3144
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9260352 | Other | PR | HUMANA |
| LA0256 | Other | PR | PALIC |
| A-533 | Other | PR | FIRST MEDICAL |
| 101080 | Other | PR | CRUZ AZUL |
| 31493 | Other | PR | TRIPLE-S |
| 800069 | Other | PR | MMM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051021000825 | PR | Part B Supplier - Independent Clinical Laboratory | 1850317496 | Practice locations: San Juan, PR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1295860740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1688 CALLE PARANA",
"address_2": "URB. EL CEREZAL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009263144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1688 CALLE PARANA",
"address_2": "URB. EL CEREZAL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009263144",
"telephone_number": "787-764-4970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO TORRIVER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-23",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "ECHEVERRIA",
"authorized_official_first_name": "OLGA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SUPERVISOR",
"authorized_official_telephone_number": "787-764-4970"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "9260352",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALIC",
"identifier": "LA0256",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL",
"identifier": "A-533",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "101080",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE-S",
"identifier": "31493",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "800069",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Laboratorio Clinico Raul Diaz
- Laboratorio Clinico Rio Piedras I
- Laboratorio Clinico Risan, Inc.
- Laboratorio Clinico Sagrado Corazon, Inc
- Laboratorio Clinico San Juan Inc
- Laboratorio de Medicina Nuclear & Pet Inc
- Laboratorio de Patologia Dr Noy
- Laboratorio Ipa508 Belaval
- Laboratorio Los Robles Inc
- Laboratorio Nuclear Metropolitano Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.