JL Rivera & Sons Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1357 Issued in PR

Legal business name

JL RIVERA & SONS INC

Doing business as

Express Clinical Lab

Practice address

PR 3 Ave Los Veteranos
Villa Rosa III
Guayama, PR 00784-1853

Phone

(787) 617-0761

NPI assigned

May 9, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Laura C Rivera Irizarry

Title

President

Phone

(787) 617-0761

Specialties & licenses 1

Addresses

Other names 1

• EXPRESS CLINICAL LAB Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• JL Rivera & Sons Inc

  dba Express Clinical Lab

  • Clinical Medical Laboratory
  • Guayama, PR
  • NPI 1457001778

  O20170620001857

  Same enrollment

Tax ID family

JL Rivera Sons Inc2 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.

• JL Rivera & Sons Inc

  dba Express Clinical Lab

  • Clinical Medical Laboratory
  • Guayama, PR
  • NPI 1457001778
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• JL Rivera & Sons Inc

  dba Express Clinical Lab

  • Clinical Medical Laboratory
  • Guayama, PR
  • NPI 1457001778
  NPPES parent name

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1356797377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1853",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007851853",
            "telephone_number": "787-617-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR 3 AVE LOS VETERANOS",
            "address_2": "VILLA ROSA III",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007841853",
            "telephone_number": "787-617-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JL RIVERA & SONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "RIVERA IRIZARRY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-617-0761",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXPRESS CLINICAL LAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gerson Jimenez, M.D.
• Leida M Jiminez Alfonzo, MD
• JL Rivera & Sons Inc (Express Clinical Lab)
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• JST Medical LLC

• Clinical Medical Laboratory in Guayama, PR
• Providers in Guayama, 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 Mar 15, 2022; 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.