Laboratorio Clinico Profesional San Miguel

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

318 Issued in PR

Legal business name

LABORATORIO CLINICO PROFESIONAL SAN MIGUEL

Practice address

112 Calle Arzuaga
Edificio Medina Center Suite 905
San Juan, PR 00925-3321

Phone

(787) 765-6069

Fax

(787) 765-6069

NPI assigned

Mar 10, 2007

Organization subpart

No

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

Authorized official

Name

Miriam GarciaNPI 1477690048

Title

Medical Technologist

Phone

(787) 765-6069

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

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

• Miriam Garcia, M.T.

  • Other Specialist/Technologist
  • Rio Piedras, PR
  • NPI 1477690048
  NPD (past) Authorized official

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346372844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21394",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009281394",
            "telephone_number": "787-765-6069",
            "fax_number": "787-765-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CALLE ARZUAGA",
            "address_2": "EDIFICIO MEDINA CENTER SUITE 905",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009253321",
            "telephone_number": "787-765-6069",
            "fax_number": "787-765-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO PROFESIONAL SAN MIGUEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "MEDICAL TECHNOLOGIST",
        "authorized_official_telephone_number": "787-765-6069"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Metabolico Corp.
• Laboratorio Clinico Michelsan Inc
• Laboratorio Clinico Miramar Inc
• Laboratorio Clinico Montehiedra Inc.
• Laboratorio Clinico Noy Inc
• Laboratorio Clinico Puerto Nuevo
• Laboratorio Clinico Puerto Rico Holding, LLC
• Laboratorio Clinico Puerto Rico Holding, LLC
• Laboratorio Clinico Puerto Rico Holding,LLC
• Laboratorio Clinico Raul Diaz

• Clinical Medical Laboratory in San Juan, PR
• Providers in San Juan, 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 Aug 22, 2020; 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.