Lavoratorio Clinico San Antonio Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LAVORATORIO CLINICO SAN ANTONIO INC

Practice address

Carretera 402 KM 3.9
Barrio Caracol Anasco
Anasco, PR 00610

Phone

(787) 826-7662

Fax

(787) 826-7662

NPI assigned

Mar 22, 2006

Last updated

Aug 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheila Barreto V, BS MTNPI 1598883258

Title

Tecnologo Medico

Phone

(787) 826-7662

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Nombre del Dueno del Labortonio Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lavoratorio Clinico San Antonio Inc

  • Clinical Medical Laboratory
  • Aguada, PR
  • NPI 1124383773

  O20060126000616

  Same enrollment

Tax ID family

Lab Clinico San Antonio2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lavoratorio Clinico San Antonio Inc

  • Clinical Medical Laboratory
  • Aguada, PR
  • NPI 1124383773
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheila Barreto, MT

  • Medical Technologist
  • Aguada, PR
  • NPI 1598883258
  NPD Authorized official

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1336108935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 VILLAS DE SOTOMAYOR",
            "city": "AGUADO",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-252-8934",
            "fax_number": "787-252-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 402 KM 3.9",
            "address_2": "BARRIO CARACOL ANASCO",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "00610",
            "telephone_number": "787-826-7662",
            "fax_number": "787-826-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVORATORIO CLINICO SAN ANTONIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "BARRETO",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "TECNOLOGO MEDICO",
        "authorized_official_telephone_number": "787-826-7662",
        "authorized_official_name_suffix": "V",
        "authorized_official_credential": "BS MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTEMENTO DE SALUD PR",
            "identifier": "1096",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "4001045313",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nombre del Dueno del Labortonio",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Medical Laboratory in Anasco, PR
• Providers in Anasco, 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 Aug 7, 2008; 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.