NPIMap

Organization Active NPI

Empresas Jerico Inc.

  • Clinical Medical Laboratory
  • Cabo Rojo, PR
National Provider Identifier
1346239654
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
488 Issued in PR
Legal business name
EMPRESAS JERICO INC.
Practice address
30 Calle Salvador Brau
Cabo Rojo, PR 00623-3417
Phone
(787) 851-1007
Fax
(787) 255-2680
NPI assigned
Oct 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Mr. Francis Mercado
Title
President
Phone
(787) 851-1007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 488 PR Primary

Addresses

Primary practice location

30 Calle Salvador Brau
Cabo Rojo, PR 00623-3417

Mailing address

30 Calle Salvador Brau
Cabo Rojo, PR 00623-3417
Phone (787) 851-1007

Other identifiers 8

IdentifierTypeStateIssuer
LA-0202OtherPALIC
2176-3OtherASOCIACION DE MAESTROS
6230005OtherHUMANA
30433-JEOtherTRIPPLE-S
050680OtherCRUZ AZUL
0867636OtherCIGNA
400427OtherUTI
488OtherSERVICIOS DE SALUD BELLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120823000157 PR Part B Supplier - Independent Clinical Laboratory 9436306644 Practice locations: Cabo Rojo, PR; San German, PR

National Provider Directory

National Provider Directory
Tax ID family
Empresas Jerico Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1346239654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CALLE SALVADOR BRAU",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233417",
            "telephone_number": "787-851-1007",
            "fax_number": "787-255-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CALLE SALVADOR BRAU",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233417",
            "telephone_number": "787-851-1007",
            "fax_number": "787-255-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPRESAS JERICO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-851-1007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "LA-0202",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASOCIACION DE MAESTROS",
            "identifier": "2176-3",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "6230005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPPLE-S",
            "identifier": "30433-JE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "050680",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0867636",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTI",
            "identifier": "400427",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SERVICIOS DE SALUD BELLA",
            "identifier": "488",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.