Active NPI
Laboratorio Clinico Nazarry Inc
- Clinical Medical Laboratory
- Lajas, PR
National Provider Identifier
1316928559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORIO CLINICO NAZARRY INC
- Practice address
- Calle 65 de Intanteria #47
Plaza del Valle Ste 006
Lajas, PR 00667 - Phone
- (787) 899-1483
- Fax
- (787) 899-1483
- NPI assigned
- Nov 7, 2005
- Last updated
- Jul 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edgardo L Cuevas
- Title
- Encargado
- Phone
- (787) 899-1483
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
Calle 65 de Intanteria #47
Plaza del Valle Ste 006
Lajas, PR 00667
Mailing address
HC 1 Box 3401
Adjuntas, PR 00601-9535
Phone (787) 899-1483
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 335 | Other | PR | HEALTH DEPT-1ST LOCATION |
| 440 | Other | PR | HEALTH DEPT-2ND LOCATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110124001190 | PR | Part B Supplier - Independent Clinical Laboratory | 6204015167 | Practice locations: Lajas, PR; San German, PR |
National Provider Directory
National Provider DirectoryLocations
47 Calle 65 de Infanteria S
Ste 6
Lajas, PR 00667
Phone (787) 899-1483
45 Calle Javilla
San German, PR 00683
Phone (787) 892-3575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627603200000",
"number": "1316928559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 3401",
"city": "ADJUNTAS",
"state": "PR",
"postal_code": "006019535",
"telephone_number": "787-899-1483",
"fax_number": "787-899-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 65 DE INTANTERIA #47",
"address_2": "PLAZA DEL VALLE STE 006",
"city": "LAJAS",
"state": "PR",
"postal_code": "00667",
"telephone_number": "787-899-1483",
"fax_number": "787-899-1483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO NAZARRY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-07",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A",
"authorized_official_last_name": "CUEVAS",
"authorized_official_first_name": "EDGARDO",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ENCARGADO",
"authorized_official_telephone_number": "787-899-1483"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH DEPT-1ST LOCATION",
"identifier": "335",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH DEPT-2ND LOCATION",
"identifier": "440",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lajas, PR
- Laboratorio Clinico Irizarry Guasch
- Laboratorio Clinico Irizarry Guasch Inc
- Laboratorio Clinico Irizarry Guasch Inc
- Laboratorio Clinico Irizarry Guasch Inc
- Laboratorio Clinico la Parguera Inc
- Lajas Medical LLC
- Marisol Lebron, PHARMD
- Letty's Pharmacy
- Orlando J Llavona Gonzalez, MD
- Llavona Medical Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.