Organization Active NPI

Laboratorio Clinico Alfeciza Inc.

  • Clinical Medical Laboratory
National Provider Identifier
1356768246
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1574 Issued in PR
Legal business name
LABORATORIO CLINICO ALFECIZA INC.
Practice address
Carr 149 Esq. Borinquen #44
Villalba, PUERTO RICO 00766
UM
Phone
(787) 847-0260
Fax
(787) 847-5693
NPI assigned
Mar 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Authorized official

Name
Mrs. Daisy ZayasNPI 1124295753
Title
Director
Phone
(787) 847-0260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1574 PR Primary

Addresses

Primary practice location

Carr 149 Esq. Borinquen #44
Villalba, PUERTO RICO 00766
UM

Mailing address

Carr 149 Esq. Borinquen #44
Villalba, PUERTO RICO 00766
UM
Phone (787) 847-0260

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141106001153 PR Part B Supplier - Independent Clinical Laboratory 4385866383 Practice locations: Villalba, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1356768246",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "CARR 149 ESQ. BORINQUEN #44",
            "city": "VILLALBA",
            "state": "PUERTO RICO",
            "postal_code": "00766",
            "telephone_number": "787-847-0260",
            "fax_number": "787-847-5693"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "CARR 149 ESQ. BORINQUEN #44",
            "city": "VILLALBA",
            "state": "PUERTO RICO",
            "postal_code": "00766",
            "telephone_number": "787-847-0260",
            "fax_number": "787-847-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO ALFECIZA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "ZAYAS",
        "authorized_official_first_name": "DAISY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-847-0260",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.