Organization Active NPI

Laboratorio Clinico El Coco Inc

  • Clinical Medical Laboratory
  • Salinas, PR
National Provider Identifier
1346312709
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1008PRHEALTHDEPT Issued in PR
Legal business name
LABORATORIO CLINICO EL COCO INC
Practice address
Santa Ana 81a
Bo Coco Nuevo
Salinas, PR 00751-3318
Phone
(787) 824-1003
Fax
(787) 824-1003
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Delma Rodriguez, BSMT
Title
Supervisor
Phone
(787) 824-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1008PRHEALTHDEPT PR Primary

Addresses

Primary practice location

Santa Ana 81a
Bo Coco Nuevo
Salinas, PR 00751-3318

Mailing address

81A Calle Santa Ana
Bo Coco Nuevo
Salinas, PR 00751-2621
Phone (787) 824-1003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080212000312 PR Part B Supplier - Independent Clinical Laboratory 1557444783 Practice locations: Salinas, PR

National Provider Directory

National Provider Directory

Locations

81A Calle Santa Ana
Salinas, PR 00751
Phone (787) 824-1003

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1346312709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81A CALLE SANTA ANA",
            "address_2": "BO COCO NUEVO",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007512621",
            "telephone_number": "787-824-1003",
            "fax_number": "787-824-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTA ANA 81A",
            "address_2": "BO COCO NUEVO",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007513318",
            "telephone_number": "787-824-1003",
            "fax_number": "787-824-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO EL COCO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DELMA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "787-824-1003",
        "authorized_official_credential": "BSMT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1008PRHEALTHDEPT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.