Laboratorio Clinico Sofia LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

2861 Issued in PR

Legal business name

LABORATORIO CLINICO SOFIA LLC

Doing business as

Laboratorio Clinico Sofia

Practice address

206 Calle San Justo
Quebradillas, PR 00678-1740

Phone

(787) 895-2475

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Sofia I Gonzalez

Title

Owner

Phone

(787) 895-2475

Specialties & licenses 1

Addresses

Other names 1

• LABORATORIO CLINICO SOFIA Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sofia I Gonzalez Velez, MT

  • Clinical Medical Laboratory
  • Quebradillas, PR
  • NPI 1366415945
  NPD

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1326166760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CALLE SAN JUSTO",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781740",
            "telephone_number": "787-895-2475",
            "fax_number": "787-895-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CALLE SAN JUSTO",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781740",
            "telephone_number": "787-895-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO SOFIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-895-2475"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "2861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO SOFIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Laboratorio Clinico Shaddai PSC
• Laboratorio Clinico Shalom Corporation
• Laboratorio San Rafael
• Laboratorio San Rafael Quebradillas, Inc.
• Laboratorio San Rafael Quebradillas, Inc. (Laboratorio Clinico Monroig)
• Lcsa LLC
• Le Vista Corp.

• Clinical Medical Laboratory in Quebradillas, PR
• Providers in Quebradillas, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.