Laboratorio Frontera

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

995 Issued in PR

Legal business name

LABORATORIO FRONTERA

Practice address

110 Calle Mendez Vigo E
Mayaguez, PR 00680-5052

Phone

(787) 832-2345

Fax

(787) 832-2345

NPI assigned

Sep 14, 2007

Organization subpart

No

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

Authorized official

Name

Miss Juliana Sofia Frontera, MT

Title

Owner

Phone

(787) 832-2345

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1376739110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE MENDEZ VIGO #110 E",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-458-8060",
            "fax_number": "787-832-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CALLE MENDEZ VIGO E",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805052",
            "telephone_number": "787-832-2345",
            "fax_number": "787-832-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO FRONTERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "FRONTERA",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_middle_name": "SOFIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-832-2345",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Mayaguez, PR
• Providers in Mayaguez, 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 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.