Organization Active NPI

Lab Clinico Toa Alta Inc

  • Clinical Medical Laboratory
  • Toa Alta, PR
National Provider Identifier
1316166143
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
582 Issued in PR
Legal business name
LAB CLINICO TOA ALTA INC
Practice address
Urb. Villa Amparo # 2 Calle Munoz Rivera
Toa Alta, PR 00954
Phone
(787) 870-3208
Fax
(787) 870-4985
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Mrs. Margaret Calcano Adorno
Title
Administrador
Phone
(787) 870-3208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 582 PR Primary

Addresses

Primary practice location

Urb. Villa Amparo # 2 Calle Munoz Rivera
Toa Alta, PR 00954

Mailing address

Urb Santa Monica I 30 Calle 7
Bayamon, PR 00957-1819
Phone (787) 870-3208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041013000377 PR Part B Supplier - Independent Clinical Laboratory 8123088382 Practice locations: Toa Alta, PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1316166143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB SANTA MONICA I 30 CALLE 7",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009571819",
            "telephone_number": "787-870-3208",
            "fax_number": "787-870-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. VILLA AMPARO # 2 CALLE MUNOZ RIVERA",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00954",
            "telephone_number": "787-870-3208",
            "fax_number": "787-870-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB CLINICO TOA ALTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "CALCANO ADORNO",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "ADMINISTRADOR",
        "authorized_official_telephone_number": "787-870-3208",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.