Organization Active NPI

Imeca , Inc

  • Clinical Medical Laboratory
  • Moca, PR
National Provider Identifier
1306103809
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1254 Issued in PR
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

Updated by the provider on May 3, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
40D2031886OtherPRCLIA

Other names 1

  • laboratorioclinico caribe Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.