Laboratorio Clinico Rivera Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

905 Issued in PR

Legal business name

LABORATORIO CLINICO RIVERA INC

Practice address

Carretera III Intersection 602
KM .6 Bo Angeles
Utuado, PR 00611-0370

Phone

(787) 894-8718

Fax

(787) 894-8718

NPI assigned

Nov 15, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Sara Rivera, MT

Title

Medical Technologist

Phone

(787) 894-8718

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

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

• Mayra Colon Quintana

  • Other Specialist/Technologist
  • Angeles, PR
  • NPI 1023289824
  NPD

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376525444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "ANGELES",
            "state": "PR",
            "postal_code": "006110370",
            "telephone_number": "787-894-8718",
            "fax_number": "787-894-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA III INTERSECTION 602",
            "address_2": "KM .6 BO ANGELES",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006110370",
            "telephone_number": "787-894-8718",
            "fax_number": "787-894-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO RIVERA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "MEDICAL TECHNOLOGIST",
        "authorized_official_telephone_number": "787-894-8718",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Bacteriologico Santiago Inc
• Laboratorio Clinico Caparros LLC
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• Laboratorio Clinico El Vivi
• Laboratorio Clinico Otoao LLC
• Laboratorio Clinico Santiago Inc
• Laboratorio Clinico Torres
• Laboratorio Clinicoy Bacteriologico Santiago
• Carlos R Laguillo, M.D.
• LC Critical Care

• Clinical Medical Laboratory in Utuado, PR
• Providers in Utuado, 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.