Lab Clinico Hernandez Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

610 Issued in PR

Legal business name

LAB CLINICO HERNANDEZ INC.

Practice address

85 Calle Don Chemary
Moca, PR 00676-4120

Phone

(787) 877-1895

Fax

(787) 551-7020

NPI assigned

Jul 15, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Illiad E Hernandez, M.T.

Title

Lab Director

Phone

(787) 877-1895

Specialties & licenses 1

Addresses

Other names 1

• LABORATORIO CLINICO HERNANDEZ Former legal business name

Practitioners 1

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

• Illiad E Hernandez Lopez, T M

  • Medical Technologist
  • Moca, PR
  • NPI 1326218223
  NPD (past)

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1336580638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 357",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006760357",
            "telephone_number": "787-877-1895",
            "fax_number": "787-551-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 CALLE DON CHEMARY",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764120",
            "telephone_number": "787-877-1895",
            "fax_number": "787-551-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB CLINICO HERNANDEZ INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ILLIAD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "787-877-1895",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABORATORIO CLINICO HERNANDEZ",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Juan a Sierra Vega
• Rene David Juan, D.D.M.
• Kardionuclear PSC
• Kardionuclear, Inc.
• KR Anesthesiology Services LLC
• Lab Lorimar LLC
• Lab Lorimar LLC
• Lab. Lorimar LLC
• Laboratorio Clinico Capa Inc
• Laboratorio Clinico Cuba, LLC

• Clinical Medical Laboratory in Moca, PR
• Providers in Moca, 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 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.