Laboratorio Clinico Plaza Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

409 Issued in PR

Legal business name

LABORATORIO CLINICO PLAZA INC

Practice address

PMB 423 1353 Rd 19
Guaynabo, PR 00966-2700

Phone

(787) 787-7244

Fax

(787) 780-0700

NPI assigned

Mar 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Milagros Ivelisse Perez

Title

Presidenta

Phone

(787) 787-7244

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1141603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1306813605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10-3 AVE AGUAS BUENAS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596611",
            "telephone_number": "787-787-7244",
            "fax_number": "787-780-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PMB 423 1353 RD 19",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662700",
            "telephone_number": "787-787-7244",
            "fax_number": "787-780-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO PLAZA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-06",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MILAGROS",
        "authorized_official_middle_name": "IVELISSE",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-787-7244",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laboratorio Clinico Munoz Rivera Inc
• Laboratorio Clinico Plaza Caparra
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• Laboratorio Clinico Principal San Fernando, Inc
• Laboratorio Clinico Tintillo
• Isander Laboy Diaz, 1838P
• Miguel Laboy Rivera, 0867P

• Clinical Medical Laboratory in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.

Verify at the official NPI Registry.