Organization Active NPI

Laboratorio Clinico Borinquen - Garden Hills Plaza

  • Clinical Medical Laboratory
  • Guaynabo, PR
National Provider Identifier
1346357274
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1107 Issued in PR
Legal business name
LABORATORIO CLINICO BORINQUEN - GARDEN HILLS PLAZA
Practice address
Carr. PR-19, Ave. Luis Vigoreaux
Centro Comercial Garden Hills
Guaynabo, PR 00969
Phone
(787) 706-0535
Fax
(787) 707-7090
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kimberly Jean Whitlock
Title
Director
Phone
(787) 744-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1107 PR Primary

Addresses

Primary practice location

Carr. PR-19, Ave. Luis Vigoreaux
Centro Comercial Garden Hills
Guaynabo, PR 00969

Mailing address

2 Calle Baldorioty
Caguas, PR 00725-2606
Phone (787) 743-0330

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio Clinico Borinquen - Garden Hills Plaza2 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": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346357274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CALLE BALDORIOTY",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252606",
            "telephone_number": "787-743-0330",
            "fax_number": "787-744-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. PR-19, AVE. LUIS VIGOREAUX",
            "address_2": "CENTRO COMERCIAL GARDEN HILLS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-706-0535",
            "fax_number": "787-707-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO BORINQUEN - GARDEN HILLS PLAZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-744-0330",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.