Laboratorio Clinico Rodriguez Stella Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

0428 Issued in PR

Legal business name

LABORATORIO CLINICO RODRIGUEZ STELLA INC

Practice address

2610 Mayor Street
Suite 2
Ponce, PR 00717-2074

Phone

(787) 843-2251

Fax

(787) 843-2251

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Damian E Sanchez Irizarry

Title

Presidente

Phone

(787) 808-4040

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Costa Caribe Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1306928684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 MAYOR STREET",
            "address_2": "SUITE 2",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172074",
            "telephone_number": "787-843-2251",
            "fax_number": "787-843-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 MAYOR STREET",
            "address_2": "SUITE 2",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172074",
            "telephone_number": "787-843-2251",
            "fax_number": "787-843-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO RODRIGUEZ STELLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ IRIZARRY",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-808-4040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "0428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Costa Caribe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laboratorio Clinico Costa Caribe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laboratorio Clinico L O P Laurel Inc
• Laboratorio Clinico Margimar Inc
• Laboratorio Clinico Munoz Rivera
• Laboratorio Clinico Paseo del Sur Inc
• Laboratorio Clinico Punta Diamante
• Laboratorio Clinico Sandon Inc
• Laboratorio Clinico Santa Maria
• Laboratorio Clinico Serhant
• Laboratorio Concordia Lugaro
• Laboratorio la Providencia de Ponce

• Clinical Medical Laboratory in Ponce, PR
• Providers in Ponce, 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 Apr 5, 2021; 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.