Organization Active NPI

Laboratorio Clinico Nazarry Inc

  • Clinical Medical Laboratory
  • Lajas, PR
National Provider Identifier
1316928559
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
335OtherPRHEALTH DEPT-1ST LOCATION
440OtherPRHEALTH DEPT-2ND LOCATION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110124001190 PR Part B Supplier - Independent Clinical Laboratory 6204015167 Practice locations: Lajas, PR; San German, PR

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.