Organization Active NPI

Anr Clinical Lab Corp

Doing business as Laboratorio Clinico Caleb

  • Clinical Medical Laboratory
  • San Juan, PR
National Provider Identifier
1316463367
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
358 Issued in PR
Legal business name
ANR CLINICAL LAB CORP
Doing business as
Laboratorio Clinico Caleb
Practice address
2100 Ave Borinquen
San Juan, PR 00915-3827
Phone
(787) 726-3781
Fax
(787) 726-3781
NPI assigned
Aug 21, 2017
Last updated
Dec 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Abigail Neira
Title
Owner
Phone
(787) 726-3781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 358 PR Primary

Addresses

Primary practice location

2100 Ave Borinquen
San Juan, PR 00915-3827

Mailing address

PO Box 14511
San Juan, PR 00916-4511
Phone (787) 726-3781

Other identifiers 2

IdentifierTypeStateIssuer
358OtherPR358
039076100MedicaidPR

Other names 1

  • Laboratorio Clinico Caleb Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hcspr.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230224000001 PR Part B Supplier - Independent Clinical Laboratory 7214300151 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

2100 Ave Borinquen
San Juan, PR 00915
Phone (787) 726-3781

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1316463367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14511",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009164511",
            "telephone_number": "787-726-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 AVE BORINQUEN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009153827",
            "telephone_number": "787-726-3781",
            "fax_number": "787-726-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANR CLINICAL LAB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "NEIRA",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-726-3781"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "358",
            "identifier": "358",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039076100",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hcspr.com",
            "affiliation": "N",
            "endpointDescription": "Lab LIS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HL7",
            "address_1": "2100 Ave Borinquen",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009153827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Caleb",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.