Laboratorio Clinico la Fuente

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1075 Issued in PR

Legal business name

LABORATORIO CLINICO LA FUENTE

Practice address

La Fuente Town Ctr
Suite 108
Guayama, PR 00784-6045

Phone

(787) 866-6470

Fax

(787) 866-6471

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Persi Yamila Bernecer

Title

Tecnologa

Phone

(787) 266-6470

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306814512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1799",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007851799",
            "telephone_number": "787-866-6470",
            "fax_number": "787-866-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LA FUENTE TOWN CTR",
            "address_2": "SUITE 108",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007846045",
            "telephone_number": "787-866-6470",
            "fax_number": "787-866-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO LA FUENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERNECER",
        "authorized_official_first_name": "PERSI",
        "authorized_official_middle_name": "YAMILA",
        "authorized_official_title_or_position": "TECNOLOGA",
        "authorized_official_telephone_number": "787-266-6470",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Guayama, PR
• Providers in Guayama, 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 22, 2020; 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.