Active NPI
Imeca , Inc
- Clinical Medical Laboratory
- Moca, PR
National Provider Identifier
1306103809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 1254
- Legal business name
- IMECA , INC
- Practice address
- Carr 111 KM 3.5
Edif Vale Colon
Moca, PR 00676 - Phone
- (787) 877-7606
- Fax
- (787) 877-7606
- NPI assigned
- Apr 20, 2012
- 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
- Ms. Imelda Hernandez
- Title
- President
- Phone
- (787) 877-7606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 1254 | PR | Primary |
Addresses
Primary practice location
Carr 111 KM 3.5
Edif Vale Colon
Moca, PR 00676
Mailing address
PO Box 1827
Rincon, PR 00677-1827
Phone (787) 877-7606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40D2031886 | Other | PR | CLIA |
Other names 1
- laboratorioclinico caribe
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683072000000",
"number": "1306103809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1827",
"city": "RINCON",
"state": "PR",
"postal_code": "006771827",
"telephone_number": "787-877-7606",
"fax_number": "787-877-7606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 111 KM 3.5",
"address_2": "EDIF VALE COLON",
"city": "MOCA",
"state": "PR",
"postal_code": "00676",
"telephone_number": "787-877-7606",
"fax_number": "787-877-7606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMECA , INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-20",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "IMELDA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-877-7606",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "1254",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "40D2031886",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "laboratorioclinico caribe",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Moca, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.