Vincente Calderon Rodriguez

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

612 Issued in PR

Legal business name

VINCENTE CALDERON RODRIGUEZ

Doing business as

Laboratorio Clinico Valparaiso

Practice address

JR1 Calle Lizzie Graham
Levittown
Toa Baja, PR 00949-3637

Phone

(787) 261-1169

NPI assigned

Oct 25, 2006

Last updated

Oct 3, 2018By 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

Ms. Elizabeth Alicea, MTNPI 1134318405

Title

Director

Phone

(787) 261-1169

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Valparaiso Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

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.

• Elizabeth Alicea, MEDICAL TECHNOLOGIST

  • Clinical Laboratory Director (Non-physician)
  • Toa Baja, PR
  • NPI 1134318405
  NPD (past) Authorized official
• Omayra Jimenez Barreto, LND

  • Registered Dietitian
  • Toa Baja, PR
  • NPI 1194033001
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1336223189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6085",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009146085",
            "telephone_number": "787-261-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JR1 CALLE LIZZIE GRAHAM",
            "address_2": "LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493637",
            "telephone_number": "787-261-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENTE CALDERON RODRIGUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "ALICEA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-261-1169",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Valparaiso",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laboratorio Clinico Valparaiso",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Alana Vestal, MD
• Carlos H Viana Reyes, MD
• Dynorah Viana-Rosa, RD, LND
• Cesar Viana, M.D.
• Irina Villafranca, FNP
• Monica Yarit Virella
• Angella Emilienne Volmar Mathieu, PHD
• Wal-Mart Puerto Rico Inc (Walmart Vision Center 30-2346)
• Wal-Mart Puerto Rico Inc (Wal-Mart Pharmacy 10-2346)
• Wal-Mart Puerto Rico Inc

• Clinical Medical Laboratory in Toa Baja, PR
• Providers in Toa Baja, 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 Oct 3, 2018; 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.