Active NPI
Laboratorio Clinico Hato Rey Inc.
- Clinical Medical Laboratory
- San Juan, PR
National Provider Identifier
1366452138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 43
- Legal business name
- LABORATORIO CLINICO HATO REY INC.
- Practice address
- 5 Calle Jose Fernandez
San Juan, PR 00918 - Phone
- (787) 751-0874
- Fax
- (787) 751-6300
- NPI assigned
- Aug 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Norma Iris Colon, MT
- Title
- Supervisor and Owner
- Phone
- (787) 751-0874
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 43 | PR | Primary |
Addresses
Primary practice location
5 Calle Jose Fernandez
San Juan, PR 00918
Mailing address
5 Calle Fernandez
San Juan, PR 00918
Phone (787) 751-0874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040312000813 | PR | Part B Supplier - Independent Clinical Laboratory | 1153210661 | Practice locations: San Juan, PR |
National Provider Directory
National Provider DirectoryLocations
5 Calle Jose Fernandez
San Juan, PR 00918
Phone (787) 751-0874
714 Ave Ponce de Leon
#102B
San Juan, PR 00918
Phone (787) 757-0874
714 Ave Ponce de Leon
Ste 102B
San Juan, PR 00918
Phone (787) 751-0874
714 Ave Ponce de Leon
Ofc 102B
San Juan, PR 00918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451347200000",
"number": "1366452138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CALLE FERNANDEZ",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-751-0874",
"fax_number": "787-751-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 CALLE JOSE FERNANDEZ",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-751-0874",
"fax_number": "787-751-6300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORIO CLINICO HATO REY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-08",
"last_updated": "2015-12-29",
"status": "A",
"authorized_official_last_name": "COLON",
"authorized_official_first_name": "NORMA",
"authorized_official_middle_name": "IRIS",
"authorized_official_title_or_position": "SUPERVISOR AND OWNER",
"authorized_official_telephone_number": "787-751-0874",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MT"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "43",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Laboratorio Clinico El Senorial, Inc
- Laboratorio Clinico Europa Inc
- Laboratorio Clinico Familiar Inc.
- Laboratorio Clinico Fernando Montilla, Inc.
- Laboratorio Clinico Ginara Inc
- Laboratorio Clinico Hermns Hikasobe
- Laboratorio Clinico la Cumbre, Inc
- Laboratorio Clinico la Merced Inc
- Laboratorio Clinico Magdalena Inc.
- Laboratorio Clinico Margarita
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.