Active NPI
Wilfredo Reyes Labrador
Doing business as Laboratorio Clinico Wilmar
- Clinical Medical Laboratory
- Carolina, PR
National Provider Identifier
1326019928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 236
- Legal business name
- WILFREDO REYES LABRADOR
- Doing business as
- Laboratorio Clinico Wilmar
- Practice address
- Piso 6, Ofic 312,
Carolina Shopping Court
Carolina, PR 00985 - Phone
- (787) 757-1040
- Fax
- (787) 757-1040
- NPI assigned
- Jan 31, 2006
- 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
- Mrs. Maritza E Grajales, BS-MT-ASCP
- Title
- Director
- Phone
- (787) 667-1902
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 236 | PR | Primary |
Addresses
Primary practice location
Piso 6, Ofic 312,
Carolina Shopping Court
Carolina, PR 00985
Mailing address
PO Box 3386
Carolina, PR 00984-3386
Phone (787) 757-1040
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ITIN | Other | PR | MCS & MCS REFORMA |
| LA0351 | Other | PR | PALIC-PANAMERICAN LIFE |
| 800219 | Other | PR | MEDICARE Y MUCHO MAS- MMM |
| 20024 | Other | PR | AMERICAN HEALTH |
| 51652 | Other | PR | CRUZ AZUL |
| ITIN | Other | PR | MAPFRE & MAPFRE MEDICARE |
| 1100105 | Other | PR | HUMANA |
| 30955 | Other | PR | MEDICARE OPTIMO |
| 30955 | Other | PR | SSS & SSS REFORMA |
| 8397 | Other | PR | FIRST MEDICAL- IMC |
| ITIN | Other | PR | CIGNA & CIGNA EXCLUSIVE |
| 20408 | Other | PR | PREFERRED MEDICARE CHOICE |
| 6007449 | Other | PR | ACAA |
| ITIN | Other | PR | OPTION HEALTHCARE |
| 11236 | Other | PR | GLOBAL HEALTH |
| 400337 | Other | PR | UTI- PREFFERED HEALTH |
Other names 1
- LABORATORIO CLINICO WILMAR
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217289600000",
"number": "1326019928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3386",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009843386",
"telephone_number": "787-757-1040",
"fax_number": "787-757-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PISO 6, OFIC 312,",
"address_2": "CAROLINA SHOPPING COURT",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-757-1040",
"fax_number": "787-757-1040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILFREDO REYES LABRADOR",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-31",
"last_updated": "2008-07-29",
"status": "A",
"authorized_official_last_name": "GRAJALES",
"authorized_official_first_name": "MARITZA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "787-667-1902",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BS-MT-ASCP"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCS & MCS REFORMA",
"identifier": "ITIN",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALIC-PANAMERICAN LIFE",
"identifier": "LA0351",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE Y MUCHO MAS- MMM",
"identifier": "800219",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH",
"identifier": "20024",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL",
"identifier": "51652",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAPFRE & MAPFRE MEDICARE",
"identifier": "ITIN",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "1100105",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OPTIMO",
"identifier": "30955",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS & SSS REFORMA",
"identifier": "30955",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL- IMC",
"identifier": "8397",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA & CIGNA EXCLUSIVE",
"identifier": "ITIN",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED MEDICARE CHOICE",
"identifier": "20408",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACAA",
"identifier": "6007449",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTION HEALTHCARE",
"identifier": "ITIN",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GLOBAL HEALTH",
"identifier": "11236",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTI- PREFFERED HEALTH",
"identifier": "400337",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LABORATORIO CLINICO WILMAR",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.