Laboratorio Clinico Vega CSP

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

192 Issued in PR

Legal business name

LABORATORIO CLINICO VEGA CSP

Practice address

50 Munoz Rivera
Camuy, PR 00627

Phone

(787) 898-4845

Fax

(787) 650-3907

NPI assigned

May 17, 2006

Last updated

Dec 26, 2024By 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

Mrs. Irma Iris Vega

Title

Administrator

Phone

(787) 898-4845

Specialties & licenses 2

Addresses

Other names 1

• LABORATORIO CLINICO VEGA Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Lab Clinico Vega CSP2 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.

• Laboratorio Clinico Vega CSP

  dba Laboratorio Clinico Vega II

  • Clinical Medical Laboratory
  • Arecibo, PR
  • NPI 1467260232
  NPD tax ID

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1336191394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MUNOZ RIVERA",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "00627",
            "telephone_number": "787-898-4845",
            "fax_number": "787-650-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MUNOZ RIVERA",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "00627",
            "telephone_number": "787-898-4845",
            "fax_number": "787-650-3907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "AVE CELSO BARBOSA, ESQ AVE DE DIEGO",
            "address_2": "ARECIBO MEDICAL PLAZA LOCAL 204",
            "address_purpose": "LOCATION",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "country_code": "US",
            "telephone_number": "787-817-1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LABORATORIO CLINICO VEGA CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "IRMA",
        "authorized_official_middle_name": "IRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-898-4845",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO VEGA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "LABORATORIO CLINICO VEGA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Leiram Medical Care Inc
• Lizzette Lopez Rodriguez
• Wilmarie Lopez Atiles

• Clinical Medical Laboratory in Camuy, PR
• Providers in Camuy, 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 Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.