Laboratorio Clinico Puerto Nuevo

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

605 Issued in PR

Legal business name

LABORATORIO CLINICO PUERTO NUEVO

Practice address

1026 Ave FD Roosevelt
Puerto Nuevo
San Juan, PR 00920-2904

Phone

(787) 783-8898

Fax

(787) 277-0841

NPI assigned

Aug 1, 2006

Last updated

Sep 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Rita Pesquera

Title

Administrator

Phone

(787) 783-8898

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luis A Davila Gonzalez

  • General Practice Physician
  • San Juan, PR
  • NPI 1427106269
  NPD (past)
• Melvin Hipolito Maldonado, MD

  • Family Medicine Physician
  • San Juan, PR
  • NPI 1902865843
  NPD (past)
• Lisa Navas Seneriz, M.D.

  • General Practice Physician
  • San Juan, PR
  • NPI 1598708059
  NPD (past)
• Alberto J Navas, MD

  • General Practice Physician
  • San Juan, PR
  • NPI 1154945020
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1376559112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193239",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193239",
            "telephone_number": "787-783-8898",
            "fax_number": "787-277-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 AVE FD ROOSEVELT",
            "address_2": "PUERTO NUEVO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009202904",
            "telephone_number": "787-783-8898",
            "fax_number": "787-277-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO PUERTO NUEVO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "PESQUERA",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-783-8898",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratorio Clinico Michelsan Inc
• Laboratorio Clinico Miramar Inc
• Laboratorio Clinico Montehiedra Inc.
• Laboratorio Clinico Noy Inc
• Laboratorio Clinico Profesional San Miguel
• Laboratorio Clinico Puerto Rico Holding, LLC
• Laboratorio Clinico Puerto Rico Holding, LLC
• Laboratorio Clinico Puerto Rico Holding,LLC
• Laboratorio Clinico Raul Diaz
• Laboratorio Clinico Rio Piedras I

• 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 Sep 19, 2013; 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.