Organization Active NPI

Laboratorio Clinico Apolo

  • Clinical Medical Laboratory
  • Guaynabo, PR
National Provider Identifier
1346367273
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
222 Issued in PR
Legal business name
LABORATORIO CLINICO APOLO
Practice address
C2 Ave Alejandrino
Villa Clementina
Guaynabo, PR 00969-4704
Phone
(787) 789-5836
NPI assigned
Mar 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Mrs. Jerusha Arboleda
Title
Medical Technologist
Phone
(787) 789-5836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 222 PR Primary

Addresses

Primary practice location

C2 Ave Alejandrino
Villa Clementina
Guaynabo, PR 00969-4704

Mailing address

C2 Ave Alejandrino
Villa Clementina
Guaynabo, PR 00969-4704
Phone (787) 789-5836

Other identifiers 2

IdentifierTypeStateIssuer
30127OtherPRTRIPLE-S
222OtherPRSTATE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1346367273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C2 AVE ALEJANDRINO",
            "address_2": "VILLA CLEMENTINA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694704",
            "telephone_number": "787-789-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C2 AVE ALEJANDRINO",
            "address_2": "VILLA CLEMENTINA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694704",
            "telephone_number": "787-789-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO APOLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-24",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "ARBOLEDA",
        "authorized_official_first_name": "JERUSHA",
        "authorized_official_title_or_position": "MEDICAL TECHNOLOGIST",
        "authorized_official_telephone_number": "787-789-5836",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S",
            "identifier": "30127",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "222",
            "state": "PR"
        }
    ],
    "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 11, 2008; 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.